Quality of Acute Episodic Care in Investor-Owned Ambulatory Health Centers
Bibliographic Data
| ID | 9103460 |
|---|---|
| Authors | Cindy Lou Parks (Boston University, corresponding author), Suzanne B Cashman (Boston University, corresponding author), Suzanne Cashman, Richard N Winickoff (Harvard University), William J Bicknell (Boston University, corresponding author) |
| Year | 1991 |
| Volume | 29 |
| Issue | 1 |
| Pages | 72-86 |
| Publication date | 1991-01-01 |
| Peer Reviewed | Yes |
| 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 | 10.1097/00005650-199101000-00007 |
| PMID | 1986180 |
| OpenAlex | W1988558494 |
| Language | EN |
| References cited | 8 |
This article examines the quality of acute episodic care for five diagnostic categories amenable to one-visit diagnosis and treatment at the nation's largest chain of investor-owned ambulatory care centers. A total of 803 medical records were audited for five common conditions and measured against specific protocols. In four of the five diagnostic categories studied--pharyngitis, otitis media, vaginitis, and use of tetanus immunization--42-97% of patients received care that met or exceeded the standards set by a panel of practicing academic physicians. In follow-up of an incidental high blood pressure reading, however, study physicians met the standard only 24% of the time. Some overprescribing and overtreatment with immunizations were detected. As far as comparison is possible to other studies, results suggest that care in this setting falls within the range of experience that has been reported for other types of practices. In spite of direct economic incentives to increase volume, little evidence was found of overuse of ancillary tests or unnecessary scheduling of repeat visits
Acute care · Ambulatory · Ambulatory care · Business · Economics · Health care · MEDLINE · Political science · Quality (philosophy) · Internal Medicine · Medicine · Streptococcal Infections and Treatments
The New Medical-Industrial Complex
A Guide to Medical Care Administration. Vol. Ii. Medical Care Appraisal-Quality and Utilization
A Review of Methods for Ambulatory Medical Care Evaluations
The Role of Ambulatory Medical Care in Hypertension Screening
Changing trends in hypertension detection and control
Quality Assurance through Automated Monitoring and Concurrent Feedback Using a Computer-Based Medical Information System
A Computer-Based Monitoring System for Follow-Up of Elevated Blood Pressure
Evaluating the Quality of Ambulatory Health Care
| Citation velocity | historical |
|---|---|
| Highly cited | No |