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Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
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7. The Committee View
Pages 48-53

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From page 48...
... committee, the assurance of quality of health care to the people of this country will be achieved through some combination of three things. First is knowledge better knowledge of the effectiveness of specific medical practices.
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From page 49...
... Ware, Jr. 2Editors' Note: The reference is to the body of research in geographic variations in use of health care services and outcome and effectiveness research pioneered by John Wennberg of Dartmouth Medical College.
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From page 50...
... These data bases are excellent for administrative and business purposes, but they are not well developed for purposes of the clinical relationships that we are seeking. Thus, the IOM report includes a set of caveats concerning the need for comprehensive clinical data bases that can help address many of the questions that remain outstanding in medical practice for common clinical conditions.
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From page 51...
... How health care is financed and reimbursed will influence the achievement of quality. Financing mechanisms that limit access to appropriate services will result in underuse and eventually constrain quality.
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From page 52...
... The need is great to identify funds for the work required. For this, I look particularly to the Agency for Health Care Policy and Research, HCFA, perhaps private foundations, and possibly other private sector organizations such as insurance companies and industry.
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From page 53...
... Pp. 7-14 in Medicare: New Directions in Quality Assurance.
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  • improve practitioner
  • inquiry recommended
  • cross data
  • look particularly
  • clinical trials

  • currently exist
  • outstanding questions
  • longitudinal nature
  • duke cardiovascular
  • engaging patients

  • critical importance
  • care services
  • ten committee
  • blue cross
  • report indicates

  • remind ourselves
  • research pioneered
  • common clinical
  • functional status
  • statewide planning


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