Evaluating Quality of Medical Care in the Neighborhood Health Center Program of the Office of Economic Opportunity

Twenty-four OEO Neighborhood Health Centers have been audited to determine the extent to which selected criteria were met in the fields of adult medicine, infant care, and obstetrical care. Principles of group operation, sample selection, the scoring process and findings are presented. The centers were ranked by their scores and various characteristics were examined. Program design, patient volume, medical school affiliation and, most important, administrative “know-how” were concluded to be major factors associated with high performance ratings. Audits of the professional judgments used in clinical management in six major specialty fields and dental care audits under-way at the present time are described. Although comparable data is presently unavailable from other settings, it is believed that the majority of the centers are performing at a satisfactory level

Audit · Business · Center (category theory) · Family medicine · Health care · Management system · Medical care · Operations management · Quality (philosophy) · Quality management · Sample (material) · Specialty · Accounting · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology

• Assessing quality of care

  Mildred A Morehead•American Journal of Public Health•1989

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• Evaluation of OEO neighborhood health centers

  Gerald Sparer, Jeffrey Johnson•American Journal of Public Health•1971

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• Stability of Physician Employment in Neighborhood Health Centers

  Hugh H Tilson•Medical Care•1973

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• Development of Criteria for Quality Assurance of Ambulatory Child Health Care

  Hugh Thompson, Hugh C Thompson et al.•Medical Care•1974

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• Office Records in the Evaluation of Quality of Care

  Hugh Thompson, Hugh C Thompson et al.•Medical Care•1976

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• The Use of Item Importance Weights in Assessing Physician Performance with Predetermined Criteria Indices

  Thomas F Lyons, Beverly C Payne•Medical Care•1975

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• Quality of Clinical Management of Disease in Comprehensive Neighborhood Health Centers

  Mildred A Morehead, Rose Donaldson•Medical Care•1974

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• Internal Chart Audits in a Neighborhood Health Program

  EDWARD G DREYFUS, RONALD MINSON et al.•Medical Care•1971

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• Administrative Problems of Neighborhood Health Centers

  Paul R Torrens•Medical Care•1971

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• Patient Participation in the Patient-Provider Interaction

  Open Access•Debra L Roter, Debra Roter•Health Education Monographs•1977

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• A field experiment to evaluate various outcomes of continuity of physician care

  M H Becker, Robert H Drachman et al.•American Journal of Public Health•1974

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• An evaluation of subsidized rural primary care programs

  C G Sheps, Edward H Wagner et al.•American Journal of Public Health•1983

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• Comparisons between OEO neighborhood health centers and other health care providers of ratings of the quality of health care

  Mildred A Morehead, Rose Donaldson et al.•American Journal of Public Health•1971

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• Consistency in Performance Among Primary Care Practitioners

  R Heather Palmer, ELIZABETH A WRIGHT et al.•Medical Care•1996

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