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Volume 338:1067-1069 April 9, 1998 Number 15
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Should We Accept Mediocrity?

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The phrase "quality improvement in health care" has come into widespread use since the early 1990s. As physicians, we are expected to heed the advice of the experts to strive continuously to improve the quality of care given to our patients. The concept is difficult to challenge, for we can all improve the ways in which we render care to our patients. Unfortunately, at least at the level of the individual patient, any move toward quality improvement is hampered by the recent changes in health care delivery, or so it seems to me.

No, I don't mind being told that . . . [Full Text of this Article]

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What is to Be Done?


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Infectious Diseases Consultants
St. Louis, MO 63141


Related Letters:

Should We Accept Mediocrity?
Westfall J. M., David J. M., Adenwalla S., Levenback C., Manian F. A.
Extract | Full Text  
N Engl J Med 1998; 339:636-638, Aug 27, 1998. Correspondence

Where Does the Buck Stop?
Yanes-Hoffman N., Manian F. A.
Extract | Full Text  
N Engl J Med 1999; 340:240-241, Jan 21, 1999. Correspondence

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