HOME >> MEDICINE >> NEWS
Quality patient care not met by blanket screenings, warns UCSF/SFVAMC physician

Even as America's medical centers are being urged to use mathematical measures to describe quality care, a UCSF/San Francisco Veterans Affairs Medical Center physician is warning against the "pitfalls" of confusing such measurement with actual quality, in an opinion piece appearing in the May 26 issue of Journal of the American Medical Association.

In the article, Louise Walter, MD, UCSF assistant professor of medicine in the geriatrics division at the SFVAMC, acknowledges the importance of measuring the quality of medical care, but suggests that the current methodology for such measurement needs to be reexamined.

Walter based her comments on results of a study she and three UCSF/VAMC colleagues conducted of the medical records of the 229 patients selected in 2002 by national VA auditors to measure colorectal cancer screening at the San Francisco VA Medical Center. The study was conducted after clinicians at the San Francisco facility had been told that the center's screening rate of 58 percent in 2002 failed to meet the national VA target rate of 65 percent. Walter and her colleagues decided to conduct their own audit of the national VA' s audit of colorectal cancer screening at their facility to determine if there was a quality of care problem.

In their study of the records, the researchers found that many of the patients selected for audit by the national VA were elderly with severe illnesses, making the physical risks and other negative aspects of colorectal cancer screening outweigh the benefits. For example, she said, the dire health of patients with metastatic prostate cancer and end-stage renal failure increases the risks of colorectal cancer screening, which include perforation of the colon and cardiac complications. In her view, the decision by the SFVAMC physicians not to screen such patients represented good quality care, even though the decision was counted as poor quality care by the screening measure. In addition, she w
'"/>

Contact: Joan Aragone
jaragone@pubaff.ucsf.edu
415-476-2557
University of California - San Francisco
25-May-2004


Page: 1 2 3

Related medicine news :

1. Quality of in-hospital CPR may fail to meet guidelines
2. Quality of life continues to change long-term after treatment for prostate cancer
3. Quality improvement program enhances heart care, closes gender gap
4. Quality time with physical therapists above fancy equipment, convenient parking
5. Product Quality Research Institute (PQRI) issues first recommendation to FDA
6. Quality of health information on the internet has improved
7. Product Quality Research Institutes (PQRI)
8. Quality Parenting Helps Kids Cope With Inner-City Stress
9. Patient Satisfaction And Decision Making Quality Greatly Improved During Improved Medical Consultations, UCSF Researchers Report
10. Patients May Not Be Receiving The Highest Quality Of Care
11. Modafinil Improves The Quality Of Life Of Narcolepsy Patients

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/15/2020)... , ... February 14, 2020 , ... Sister companies, Special ... - “BIG MONEY IN ABA”. The series explores the challenges, risks, and opportunities ... in the series on March 25, 2020 at: https://bit.ly/2OU6lxg , Since ...
(Date:2/14/2020)... ... February 14, 2020 , ... ScripHessco has announced the release ... guide breaks down the benefits of chiropractic care during pregnancy and how to ... is quite beneficial to the mother’s health. Seeing a chiropractor during pregnancy leads ...
(Date:2/14/2020)... ... February 14, 2020 , ... Cloudticity announced today ... the company’s support for healthcare organizations using Amazon Web Services (AWS). , “Our ... or experience to do so,” explained Cloudticity Founder & CEO, Gerry Miller. “In ...
(Date:2/13/2020)... ... February 13, 2020 , ... The Root Cause ... achieving health equity for all Americans will unveil its new Status of Health ... at the National Press Club. , The event will feature a presentation and ...
(Date:2/13/2020)... ... February 13, 2020 , ... ... Northern Virginia: Arlington, Dulles-Aldie, Fair Oaks, Fairfax, Fredericksburg, Leesburg, and Woodbridge, as well ... and Virginia-based fertility specialists have been named as Top Docs for Infertility by ...
Breaking Medicine News(10 mins):
(Date:2/19/2020)... ... February 19, 2020 , ... Drs. Mario Canal and Ben Calem will ... at The Mansion in Voorhees. The course features guest speaker, Dr. Amanda Seay, and ... implants, including All-on-4® full mouth dental implants, are a major focus ...
(Date:2/19/2020)... ... February 19, 2020 , ... Global Healthcare Exchange, ... the release of its annual GHX “Best 50” supply chains in ... for their ability to demonstrate improved operational performance and drive down costs through ...
(Date:2/15/2020)... Fla. (PRWEB) , ... February 14, 2020 , ... ... has established an "oral-systemic” link between the organisms that cause inflammatory gum disease ... from Tampa-based ProBiora Health?? , offers new tools in the fight against ...
Breaking Medicine Technology:
Cached News: