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Comment and Dissent
Pages 53-54

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From page 53...
... (Incidenta1ly, ~ do not feel that references to the Rosser and Watts study relating to prognosticating function at the time of hospital discharge as an example of an outcome approach strengthens the position for use of outcome determinations.) On a far less sophisticated level there is much known about the provision of medical services which can be judged from the process of care employed; usual.and customary practice may not always be amenable to definitive proof of efficacy, but modern medicine has taken into account the decision factors redating to diagnosis and therapy and the avoidance of risk (unnecessary surgery, use of overly potent drugs, etc.~.
From page 54...
... Data collection is a prerequisite to any method of quality assurance. This area, including recommendations about the hospital discharge abstract, might more logically be placed prior to the discussion on methods.


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