A method for selecting criteria to evaluate medical care

E. H. Wagner, C. A. Williams, R. Greenberg, D. Kleinbaum, S. Wolf, Michel Ibrahim

Research output: Contribution to journalArticle

Abstract

This study tests a questionnaire method for eliciting process criteria for medical care appraisal. The questionnaire was sent to national samples of family physicians, pediatricians, and pediatricians specializing in infectious diseases asking their opinions about various clinical actions in 125 clinical situations concerning respiratory infection in infants. Five hundred twenty-four (54 per cent) physicians returned completed questionnaires. Questionnaire responses favored the performance of a majority of actions and opposed very few. Opinions concerning individual actions, particularly diagnostic tests and treatments, varied widely depending upon the clinical situation presented. A second questionnaire sent one year later indicated that the opinions expressed in the first questionnaire remained stable over time, especially if the initial opinion favored performance of the action. Comparison of the questionnaire responses and medical records of a group of practitioners demonstrated that only 55 per cent of actions favored in a practitioner's questionnaire appeared in his records. Although the questionnaire method appears to be a feasible, specific, and reliable means of identifying clinical opinion, there remains considerable discordance between opinion as expressed in the questionnaire and recorded clinical practice.

Original languageEnglish (US)
Pages (from-to)464-470
Number of pages7
JournalAmerican Journal of Public Health
Volume68
Issue number5
StatePublished - 1978
Externally publishedYes

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Surveys and Questionnaires
Family Physicians
Routine Diagnostic Tests
Respiratory Tract Infections
Medical Records
Communicable Diseases
Physicians
Pediatricians
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Wagner, E. H., Williams, C. A., Greenberg, R., Kleinbaum, D., Wolf, S., & Ibrahim, M. (1978). A method for selecting criteria to evaluate medical care. American Journal of Public Health, 68(5), 464-470.

A method for selecting criteria to evaluate medical care. / Wagner, E. H.; Williams, C. A.; Greenberg, R.; Kleinbaum, D.; Wolf, S.; Ibrahim, Michel.

In: American Journal of Public Health, Vol. 68, No. 5, 1978, p. 464-470.

Research output: Contribution to journalArticle

Wagner, EH, Williams, CA, Greenberg, R, Kleinbaum, D, Wolf, S & Ibrahim, M 1978, 'A method for selecting criteria to evaluate medical care', American Journal of Public Health, vol. 68, no. 5, pp. 464-470.
Wagner EH, Williams CA, Greenberg R, Kleinbaum D, Wolf S, Ibrahim M. A method for selecting criteria to evaluate medical care. American Journal of Public Health. 1978;68(5):464-470.
Wagner, E. H. ; Williams, C. A. ; Greenberg, R. ; Kleinbaum, D. ; Wolf, S. ; Ibrahim, Michel. / A method for selecting criteria to evaluate medical care. In: American Journal of Public Health. 1978 ; Vol. 68, No. 5. pp. 464-470.
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