Measuring the Quality of Medical Care

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Abstract
To the Editor: Dr. David Rutstein and his colleagues of the Working Group on Preventable and Manageable Diseases have suggested that by monitoring the occurrence of specific undesirable health outcomes we can measure the degree to which a society's capacity to prevent disease, disability and death is effectively realized.1 Their proposal would yield an indicator for measuring not only the quality of medical care but also the costs, in terms of health outcomes, of occupational, life-style, environmental and other controllable contributors to the society's burden of disease. I wish to report the results of an exercise that demonstrates the usefulness . . .

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