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Wagner EH, Williams CA, Greenberg R, et al. A method for selecting criteria to evaluate medical care. Am J Public Health. 1978;68(5):464-70doi: 10.2105/ajph.68.5.464.
Wagner, E. H., Williams, C. A., Greenberg, R., Kleinbaum, D., Wolf, S., & Ibrahim, M. A. (1978). A method for selecting criteria to evaluate medical care. American journal of public health, 68(5), 464-70. https://doi.org/10.2105/ajph.68.5.464
Wagner, E H, et al. "A method for selecting criteria to evaluate medical care." American journal of public health vol. 68,5 (1978): 464-70. doi: https://doi.org/10.2105/ajph.68.5.464
Wagner EH, Williams CA, Greenberg R, Kleinbaum D, Wolf S, Ibrahim MA. A method for selecting criteria to evaluate medical care. Am J Public Health. 1978 May;68(5):464-70. doi: 10.2105/ajph.68.5.464. PMID: 645995; PMCID: PMC1653894.
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Atypon Free PMC Article

Am J Public Health. 1978 May;68(5):464-70. doi: 10.2105/ajph.68.5.464.

A method for selecting criteria to evaluate medical care.

American journal of public health

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

PMID: 645995 PMCID: PMC1653894 DOI: 10.2105/ajph.68.5.464
Free PMC Article

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%) 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% 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.

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References

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