Document Detail

Office records in the evaluation of quality of care.
MedLine Citation:
PMID:  1263626     Owner:  NLM     Status:  MEDLINE    
Trained reviewers audited 10,500 charts in the offices of 166 pediatricians and family physicians. Criteria for child health supervision and three diseases had been previously validated for relevance to health outcome and suitability for peer review. Overall documentation of criteria was approximately 50 per cent. Measurements and laboratory data were recorded frequently; counseling items infrequently. Pediatricians documented health supervision items more often than family physicians. Members of large groups recorded more than those in solo practice or small groups. The presence of equipment considered important for health care did not correlate with percentage of recording. The method of review was judged accurate and acceptable by physicians, but only 50 per cent said the results accurately portrayed their performance. Lack of accurate recording may make it impossible to achieve valid peer review of ambulatory child care.
H C Thompson; C E Osborne
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Medical care     Volume:  14     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1976 Apr 
Date Detail:
Created Date:  1976-07-06     Completed Date:  1976-07-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  294-314     Citation Subset:  AIM; IM    
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MeSH Terms
Asthma / therapy
Child Health Services / standards
Child, Preschool
Equipment and Supplies
Family Practice / standards*
Group Practice
Infant, Newborn
Medical Audit*
Medical Records*
Pediatrics / standards*
Pharyngitis / therapy
Private Practice
Quality of Health Care
Time Factors
Tonsillitis / therapy
United States
Urinary Tract Infections / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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