Mead W F
J Fam Pract. 1976 Dec;3(6):587-91.
The Joint Committee on Quality Assurance (JCQA) was established in 1970 by the American Academy of Pediatrics and includes members from eight organizations concerned with primary care for children. The Committee developed criteria for assessing (1) health supervision of children, and (2) the management of three common diseases of children: tonsillopharyngitis, urinary tract infection, and bronchial asthma. These criteria were then validated by 452 academic and practitioner experts. A representative sample of primary care physicians further evaluated these criteria. The last phase of the study consisted of an audit of charts in the offices of pediatricians, family physicians, and general practitioners to determine the applicability of these criteria to medical records. Good agreement on health supervision criteria was found between academic and practitioner experts. Recording practices of pediatricians and other physicians were quite similar in the representative sample, although pediatricians recorded more complete health supervision information than did family physicians and general practitioners in the office audit. Present chart systems and recording practices do not allow meaningful peer review by chart audits in most office settings.
质量保证联合委员会（JCQA）于1970年由美国儿科学会成立，成员包括来自八个关注儿童初级保健组织的人员。该委员会制定了评估标准，用于（1）儿童健康监督，以及（2）儿童三种常见疾病：扁桃体咽炎、尿路感染和支气管哮喘的管理。这些标准随后由452名学术专家和从业者专家进行了验证。一组具有代表性的初级保健医生进一步评估了这些标准。研究的最后阶段包括对儿科医生、家庭医生和全科医生办公室的病历进行审核，以确定这些标准对医疗记录的适用性。学术专家和从业者专家在健康监督标准方面达成了良好的共识。在具有代表性的样本中，儿科医生和其他医生的记录做法非常相似，尽管在办公室审核中，儿科医生记录的健康监督信息比家庭医生和全科医生更完整。在大多数办公室环境中，现有的病历系统和记录做法不允许通过病历审核进行有意义的同行评审。
