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An Approach

Joseph S. Gonnella, MD; Michael J. Goran, MD; John W. Williamson, MD; Nicholas J. Cotsonas, Jr., MD

JAMA. 1970;214(11):2040-2043.

Abstract
This study was designed to test a new approach to the evaluation of patient care. Urinary tract infection was the disease surveyed. The objectives of the study were (1) to find the medical status of the patients prior to their first visit to the general medical clinic, (2) to compare the results of the survey with those obtained by the clinic team as recorded in the medical records, (3) to measure the knowledge of the clinic team with objective examinations, and (4) to compare performance on objective examinations with that in actual treatment situations. This approach appears to be an effective way to gather information about the quality of patient care given by physicians.

Author Affiliations
From the Department of Medicine and the Office of Research in Medical Education, College of Medicine, University of Illinois, Chicago. Dr. Gonnella is now with the Jefferson Medical College, Philadelphia; Dr. Goran is with the National Institute of Mental Health, Washington, DC; and Dr. Williamson is with the Johns Hopkins University, Baltimore.

Footnotes
Read in part before the Patient Care Research Section of the American Federation for Clinical Research, Atlantic City, NJ, April 30, 1967.

Reprint requests to 1025 Walnut St, Philadelphia 19107 (Dr. Gonnella).

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