The Meaning of Quality in Medical Care

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Abstract
I am interested in the quality of personal health services from two points of view. The first is that, as a physician, I have been taught throughout my professional career that I had an absolute obligation to my patients to provide them with the highest quality medical care within my reach, almost without regard to cost. My training in a large, academically oriented state-subsidized teaching hospital followed by experience in a municipal hospital accentuated this tendency by insulating my patients from the cost implications of my "high-quality," extensive and exhaustive diagnostic and therapeutic efforts.The rapid growth of public and . . .

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