Quality of Medical Care and Public Welfare Medical Programs

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Abstract
The concept of quality control in public medical care is discussed from the administrator''s viewpoint. Although difficult to define and impossible to legislate, quality is influenced by regulation in California''s Public Assistance Medical Care Program in 10 ways. These are described as comprehensive services, preventive services, use of medical specialists, medical audit, use of medical and dental consultants, payments to public hospitals, use of professional advisory committees, of review Committees, social work services and establishment of minimum standards for payment to medical facilities. Accepting the fact that the care practised by the physician in his own office is nearly beyond reach of any third party, methods of enabling and encouraging him to elevate the quality of his services are stated. These include the need for fair remuneration, broad use of ancillary disciplines and a close relationship with a peer, serving as liaison between the public medical care program and the profession.

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