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Volume 341:1147-1150 October 7, 1999 Number 15
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The Unintended Consequences of Measuring Quality on the Quality of Medical Care

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It was midafternoon, and I was 30 minutes behind schedule. My next appointment was with a new patient, Mr. H., a 50-year-old man whose chief symptom was headaches. I spent more than the scheduled time with Mr. H., but the visit went well. I made a diagnosis of tension headaches, which he accepted after some explanation. As I put my hand on the doorknob to leave the room, now 40 minutes behind schedule (this wouldn't help my scores on surveys of patient and staff satisfaction), Mr. H. said, "Oh, by the way, sometimes I get a bit more short of . . . [Full Text of this Article]

The Allocation of Resources

The Organization of Physicians' Practices

Professionalism

Physicians' Concept of Quality

Minimizing the Unintended Consequences of Measuring Quality

References


Related Letters:

Executives with White Coats — Managed-Care Medical Directors
Pearl R. M., York G. K., Belman M. J., Kamil J., Urbach D. J., Bodenheimer T., Casalino L.
Extract | Full Text  
N Engl J Med 2000; 342:1370-1371, May 4, 2000. Correspondence

The Unintended Consequences of Measuring Quality on the Quality of Medical Care
Stewart G. M., Bobrow R. S., Wachter R. M., Shojania K. G., Casalino L. P.
Extract | Full Text  
N Engl J Med 2000; 342:519-520, Feb 17, 2000. Correspondence

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