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Letters |5 July 2005

Clinical Experience and Quality of Health Care

Niteesh K. Choudhry, MD, PhD; Robert H. Fletcher, MD, MSc; Stephen B. Soumerai, ScD

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Author, Article, and Disclosure Information
  • From Harvard Medical School, Boston, MA 02215.

    Potential Financial Conflicts of Interest: None disclosed.

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IN RESPONSE:
Drs. Samuels and Ropper raise concerns that our search strategy was “not in the least systematic” and was “circuitous.” We identified studies from multiple sources and applied explicit inclusion and exclusion criteria; this process and its reporting are precisely what make our review systematic. We used methods recommended by the Cochrane Collaboration (1), which are similar to those frequently presented in the clinical literature.
Drs. Samuels and Ropper take issue with the outcomes we evaluated, asserting that “[p]atients do not seek consultation for a more fastidious application of standards.” We agree that many aspects of health care...
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Choudhry NK, Fletcher RH, Soumerai SB. Clinical Experience and Quality of Health Care. Ann Intern Med. 2005;143:86–87. doi: 10.7326/0003-4819-143-1-200507050-00020

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Published: Ann Intern Med. 2005;143(1):86-87.

DOI: 10.7326/0003-4819-143-1-200507050-00020

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2005 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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