JOE OUSLANDER, M.D.
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To the editor: Recent medical literature abounds with new and more complex schemes for evaluating cost effectiveness and the quality of care we give our patients. The article "Quality-of-Care Assessment by Process and Outcome Scoring" by Rubenstein, Mates, and Sidel (Ann Intern Med 86:617-625, 1977) and the editorial by Freeman in the same issue (pp. 647-648) detail a very sophisticated and innovative approach to the assessment of patient care. I applaud their emphasis on assessment methods that "reinforce appropriate decision-making rather than unthinking adherence to a rigid checklist."
The facts that the clinician must consider for effective decision-making, even for
OUSLANDER J. Quality-of-Care Assessment. Ann Intern Med. 1977;87:791–792. doi: 10.7326/0003-4819-87-6-791_2
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Published: Ann Intern Med. 1977;87(6):791-792.
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