Abstract
The quality assurance of medical practice in most countries is effected through a mixture of informal assessment and peer review, and through more formal accreditation, credentialing or delineation of privilege. The process of assessment and review is often subjective and without explicit reference to pre-determined standards of practice. It has been argued that comparative treatment outcome data on an individual doctor’s performance is required to make quality assurance credible [1]. Equally, many would add that objective and quantitative methods to monitor the quality of a doctor’s performance based on treatment outcome data could be more widely applied and would lend credence to the quality assurance process.

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