Letters

Performance indicators for general practice

BMJ 1995; 311 doi: http://dx.doi.org/10.1136/bmj.311.7013.1167c (Published 28 October 1995) Cite this as: BMJ 1995;311:1167
  1. Frances Mair, Research fellow
  1. University of Kansas Medical Center, Department of Family Medicine/Telemedicine, 8630 Halsey, Lenexa, KS 66215, USA

    Emphasis is changing from quality assurance to continuous quality improvement

    EDITOR,--Performance indicators have long been used in the United States as a tool of quality assurance programmes and are now being promoted in Britain.1 The emphasis of quality assurance on identifying “problems” and the “bad apples” in medicine is, however, now being viewed in the United States as counter productive. Unsurprisingly, it is difficult for a negatively oriented process to engender the enthusiasm and capture the support of health …

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