Ambulatory Medical Care Quality

Determination by Diagnostic Outcome

Charles R. Kelley, Joseph Mamlin

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

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 - Journal of the American Medical Association
Volume227
Issue number10
DOIs
StatePublished - Mar 11 1974

Fingerprint

Ambulatory Care
Multiphasic Screening
Physicians
Quality of Health Care
Urban Hospitals
Patient Care
Direction compound

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ambulatory Medical Care Quality : Determination by Diagnostic Outcome. / Kelley, Charles R.; Mamlin, Joseph.

In: JAMA - Journal of the American Medical Association, Vol. 227, No. 10, 11.03.1974, p. 1155-1157.

Research output: Contribution to journalArticle

@article{fd672d36e56c495cbd19482f5af72273,
title = "Ambulatory Medical Care Quality: Determination by Diagnostic Outcome",
abstract = "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.",
author = "Kelley, {Charles R.} and Joseph Mamlin",
year = "1974",
month = "3",
day = "11",
doi = "10.1001/jama.1974.03230230031018",
language = "English (US)",
volume = "227",
pages = "1155--1157",
journal = "JAMA - Journal of the American Medical Association",
issn = "0002-9955",
publisher = "American Medical Association",
number = "10",

}

TY - JOUR

T1 - Ambulatory Medical Care Quality

T2 - Determination by Diagnostic Outcome

AU - Kelley, Charles R.

AU - Mamlin, Joseph

PY - 1974/3/11

Y1 - 1974/3/11

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0015964330&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0015964330&partnerID=8YFLogxK

U2 - 10.1001/jama.1974.03230230031018

DO - 10.1001/jama.1974.03230230031018

M3 - Article

VL - 227

SP - 1155

EP - 1157

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

SN - 0002-9955

IS - 10

ER -