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Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
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21. A Physician's Response to the Institute of Medicine Report
Pages 167-173

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 167...
... If you want to know what is known and what is not known about quality assurance in this country, there it is. So it is an enormously valuable contribution, and I agree basically with the conceptual analysis.
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From page 168...
... .utlons. The two big problems are, first, the cost of our health care system, and second, the fact that we do not adequately identify, monitor, or prevent poor quality medical care.
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From page 169...
... That is true now, and it is going to be true in the future. It is difficult to envision how a really effective quality assurance program could be applied to the office practice of medicine without being terribly expensive and terribly intrusive.
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From page 170...
... We should try to increase that percentage, and we should try to be developing quality assurance methods that focus on doctors practicing in groups. That is where quality assurance is going to be effective, whereas doctors practicing privately and individually in their own offices are going to be very difficult to deal with.
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From page 171...
... Medical organizations are afraid of antitrust actions whenever they contemplate disciplinary actions against individual doctors. The fact is that most doctors I know are reluctant to participate in peer review and quality assurance activities because of the legal implications.
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From page 172...
... We should make groups responsible for managing the care that they provide, based on the information that will come from a greatly expanded national program of technology assessment outcomes and effectiveness research. We need to put a lot of money into these efforts, and it will be an excellent investment.
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From page 173...
... Pp. 18-21 in Medicare: New Directions in Quality Assurance.
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Key Terms

  • prepaid health
  • third party
  • assurance program
  • steven schroeder
  • professional standards

  • administrative machinery
  • limited access
  • doctors practicing
  • office practice
  • hospital admissions

  • own personal
  • enormous amount
  • medical profession
  • effective quality
  • terribly intrusive

  • quality agenda
  • technology level
  • schroeder mentions
  • approach coupled
  • sufficient emphasis

  • enormously valuable
  • economic imperatives
  • prepayment arrangements
  • uncomfortable feeling
  • personal views

  • doctors work
  • manage doctors
  • care arrangements
  • impaired practitioner
  • public position


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