Comments on: What is quality – a reader asks http://www.medrants.com/archives/4636 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Michael Kirsch, M.D. http://www.medrants.com/archives/4636/comment-page-1#comment-528554 Michael Kirsch, M.D. Mon, 06 Jul 2009 16:11:08 +0000 http://www.medrants.com/?p=4636#comment-528554 The difficulty with the medical quality issue is that it cannot be reliably measured. The government has reduced this issue down to a checkmark system (e.g. % of Pap smears, colonoscopies, etc), which entirely misses the core features of quality, which cannot be so easily measured. There is no accurate method to quantify and rate history taking skills, physical examination technique or medical judgement. I reject faulty systems of quality measurement that measure what can be easily measured, rather than rate what truly matters. Let's now rely upon medicore methods as a surrogate. Would we appraise a work of art by its weight just because this is easy and reproducible? www.MDWhistleblower.blogspot.com The difficulty with the medical quality issue is that it cannot be reliably measured. The government has reduced this issue down to a checkmark system (e.g. % of Pap smears, colonoscopies, etc), which entirely misses the core features of quality, which cannot be so easily measured. There is no accurate method to quantify and rate history taking skills, physical examination technique or medical judgement. I reject faulty systems of quality measurement that measure what can be easily measured, rather than rate what truly matters. Let’s now rely upon medicore methods as a surrogate. Would we appraise a work of art by its weight just because this is easy and reproducible? http://www.MDWhistleblower.blogspot.com

]]> By: Dr.Rajesh moganti http://www.medrants.com/archives/4636/comment-page-1#comment-528548 Dr.Rajesh moganti Sun, 05 Jul 2009 14:05:14 +0000 http://www.medrants.com/?p=4636#comment-528548 hi doctor! this is one one of the best medical blogs i have seen recently and i felt that some things which are recent topics should be covered to attract the attention of the medical professionals ! GREAT WORK! ALL THE BEST hi doctor!
this is one one of the best medical blogs i have seen recently and i felt that some things which are recent topics should be covered to attract the attention of the medical professionals !

GREAT WORK! ALL THE BEST

]]> By: Web Media Daily – Weekend July 4, 2009 | Reinventing Yourself... http://www.medrants.com/archives/4636/comment-page-1#comment-528544 Web Media Daily – Weekend July 4, 2009 | Reinventing Yourself... Sat, 04 Jul 2009 13:00:35 +0000 http://www.medrants.com/?p=4636#comment-528544 [...] What is quality – a reader asks…   DB’s Medical Rants [...] [...] What is quality – a reader asks…   DB’s Medical Rants [...]

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