| The politics of medical quality: auditing doctors in the UK and the USA. | |
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MedLine Citation:
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PMID: 10124349 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Following the 1989 white paper Working for Patients, medical audit has emerged as the principal officially-approved means of assuring the quality of NHS medical care. Beneath the surface consensus, however, significant arguments continue concerning both the purposes and the character of such audit. A 'medical model' of medical audit is in competition with a more managerial approach, while consumer interests, however unsuccessfully, are also trying to claim a role. Comparison with the system of peer review in the USA indicates that medical audit in the NHS is likely to be particularly weak with respect to public accountability. Nevertheless, when taken together with other features of the white paper's proposals, the universalization of medical audit offers managers an opportunity to begin to constrain the behaviour of hospital doctors at the local level. |
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Authors:
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C Pollitt |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Health services management research : an official journal of the Association of University Programs in Health Administration / HSMC, AUPHA Volume: 6 ISSN: 0951-4848 ISO Abbreviation: Health Serv Manage Res Publication Date: 1993 Feb |
Date Detail:
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Created Date: 1993-04-09 Completed Date: 1993-04-09 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8811549 Medline TA: Health Serv Manage Res Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 24-34 Citation Subset: H |
Affiliation:
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Brunel University. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Great Britain Interprofessional Relations Medical Audit / organization & administration*, standards Medical Staff, Hospital / standards* Models, Organizational Physician's Practice Patterns / standards Politics Professional Review Organizations / organization & administration*, standards Quality of Health Care / standards State Medicine / organization & administration, standards United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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