Quality Assurance in Eight Adult Medicine Group Practices
Bibliographic Data
| ID | 9103191 |
|---|---|
| Authors | R Heather Palmer (Harvard University), Rose Strain (Harvard University), Judith V W Maurer (Harvard University), Janet K Rothrock (Harvard University), Mark S Thompson (0000-0001-8958-0336, Harvard University) |
| Year | 1984 |
| Volume | 22 |
| Issue | 7 |
| Pages | 632-643 |
| Publication date | 1984-07-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198407000-00005 |
| PMID | 6748781 |
| OpenAlex | W2085735127 |
| Language | EN |
| Citations received | 9 |
| References cited | 3 |
Four evaluations of ambulatory medical care tasks were developed for use in quality assurance. The evaluations used medical records data and explicit criteria incorporating branching logic. They were implemented in eight general medicine provider groups in two teaching hospitals and six related health centers. Agreement with criteria among 316 provider responses to questionnaires varied from 57% to 100%. The percentage of cases with one or more variation from evaluation criteria, confirmed on peer review to have a deficiency in care, ranged by task from 6% to 42%, with substantial variation between sites. Physician reviewers from each site varied in leniency. Numbers of actions taken to correct deficiencies ranged by site and task from zero to six. Multisite evaluations revealed differences in performance and efforts to improve that are not apparent when each site conducts its own evaluations. More uniformly effective and impartial quality assurance is needed to correct some important deficiencies in care observed in this study
Ambulatory · Ambulatory care · Family medicine · Health care · Medical care · Medical record · Quality (philosophy) · Quality assurance · Task (project management) · Task group · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology · Surgery
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Are Differences in Practitioners' Acceptance of a Quality Assurance Intervention Related to Their Performance
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| Citations per year | 0.21 |
|---|---|
| Citation span | 1984 - 2002 (19) |
| Highly cited | No |