JAMES R. WEBSTER JR., M.S., M.D., F.A.C.P.; RICHARD L. HUGHES, M.D., F.A.C.P.; WILLIAM B. BUCKINGHAM, M.D., F.A.C.P.
To the editor: Brook, Williams, and Avery (Ann Iniern Med 85:809-817, 1976) have incisively assessed the problems surrounding quality assurance, particularly in terms of its methods, problems, costs, and goals. Their recommendations are well grounded and answer critics such as Illich (1) who point to the lack of data showing that processes affect outcome in health.
Brook and associates cite the difficulties in attempting to change physician behavior as a means of improving quality care and comment that "attempts to raise the level of quality of care by efforts directed solely at improving cognitive skills must be resisted." We agree
WEBSTER JR, HUGHES RL, BUCKINGHAM WB. Clinical Skills and Cost of Good Care. Ann Intern Med. ;86:361–362. doi: 10.7326/0003-4819-86-3-361
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Published: Ann Intern Med. 1977;86(3):361-362.
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