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Quality of Clinical Management of Disease in Comprehensive Neighborhood Health Centers

Bibliographic Data

ID9104027
AuthorsMildred A Morehead (Albert Einstein College of Medicine, corresponding author), Rose Donaldson (Princip (Czechia))
Year1974
Volume12
Issue4
Pages301-315
Publication date1974-04-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197404000-00002
PMID4823648
OpenAlexW2019141010
LanguageEN
Citations received7
References cited3

Peer review of clinical management of patients with serious or potentially serious illness was conducted in 40 neighborhood health centers in the fields of medicine, pediatrics, obstetrics, and gynecology. The majority of centers reviewed were performing at a satisfactory level in comparison to similar studies that have been performed on individual practitioners in another setting. Although a few instances were encountered where the specific provider was considered unsatisfactory, the major deficiencies were due to lack of adequately functioning systems: lack of follow-up of positive laboratory and x-ray results, inadequate hospital relationships, and poor patient compliance. No relationship was found between performance ratings and degree of pathology, length of time under care, physician-patient continuity, or whether the program was in an urban or rural area. Centers with strong backup hospital relationships and board eligible or board certified physicians had higher performance ratings than those without such resources. It is of considerable interest that findings of the less sophisticated index type of audit, which can be performed by nonphysicians, correlated reasonably well with the more sophisticated, time-consuming peer reviews which require physician input

Audit · Backup · Certification · Clinical audit · Family medicine · Health care · Management system · MEDLINE · Operations management · Quality (philosophy) · Quality management · Emergency and Acute Care Studies · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare

  • Measuring Clinical Performance of Individual Internists in Office and Hospital Practice

    Paul J Sanazaro, ROBERT M WORTH•Medical Care•1985

  • Relationship of Size and Payment Mechanism to System Performance in 11 Medical Care Systems

    Paul A Nutting, Barton R Burkhalter et al.•Medical Care•1982

  • Optimal and Logical Quality

    Hannu Vuori•Medical Care•1980

  • A Review of Methods for Ambulatory Medical Care Evaluations

    R Heather Palmer, H Richard Nesson•Medical Care•1982

  • Individual and Institutional Variables Which May Serve as Indicators of Quality of Medical Care

    R Heather Palmer, Margaret Connorton Reilly•Medical Care•1979

  • Physician management in primary care

    Barbara S Hulka, Lawrence L Kupper et al.•American Journal of Public Health•1976

  • Consistency in Performance Among Primary Care Practitioners

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

  • A Method of Evaluating and Improving the Quality of Medical Care

    Edwin F Daily, Mildred A Morehead•American Journal of Public Health…•1956

  • 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

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

    Mildred A Morehead•Medical Care•1970

Citations per year0.14
Citation span1976 - 1996 (21)
Highly citedNo

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