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The Literature of Medicine |

Reviews and Notes: Improving Clinical Practice: Total Quality Management and the Physician. D Blumenthal and AC Scheck; eds. 310 pages. San Francisco: Jossey-Bass; 1995. $35.95. ISBN 0787800931. Order phone 415-433-1767

John A. Robbins, MD, MPH
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University of California, Davis, Medical Center, Sacramento, CA 95817

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1996;124(1_Part_1):79. doi:10.7326/0003-4819-124-1_Part_1-199601010-00037
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Before reading this book, I was under the impression that total quality management, continuous quality improvement, and other new names for what we used to call quality assurance were methods dreamed up by hospital administrators and regulatory agencies to confuse and control physicians. The authors of this book on improving clinical practice report that my opinion is shared by most physicians. After having read the book, I still believe that total quality management, continuous quality improvement, and so on are usually used by administrators to control and manipulate physician behavior. On the other hand, the authors have convinced me that this need not be the case.

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