Ambulatory Medical Care Quality: Determination by Diagnostic Outcome

Charles R. Kelley, Joseph J. Mamlin

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Prior to altering the pattern of medical care, a 10% sample of patients from the medical clinics of a university-related city hospital were evaluated to document aspects of the quality of medical care being given. Diagnostic outcomes were determined by data from specialized multiphasic screening that compared newly acquired medical data with physician knowledge of abnormalities recorded in the clinical record. Physicians were unaware of a variety of abnormalities in the 606 patients. These results were interpreted as unacceptable diagnostic outcomes and supported the impression that a breakdown in patient care existed. By delineating specific problem areas, this information has provided direction for the restructuring of ambulatory care.

Original languageEnglish (US)
Pages (from-to)1155-1157
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Issue number10
StatePublished - Mar 11 1974

ASJC Scopus subject areas

  • Medicine(all)

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