Schrag P E, Bauman W A
Arch Intern Med. 1976 Jan;136(1):77-80.
The initial purpose of an experimental program of close personalized supervision of ward patients by attending physicians in addition to house staff in a teaching hospital was to determine whether such personalized care would raise the quality of care and lower the cost and length of stay. By subjective measurements, an improvement in the quality of care was perceived. However, neither length of stay nor hospital charges were reduced when compared to a control population. Moreover, the data suggest that auditing the length of stay and hospital charges does not necessarily measure the quality of medical care.
在一家教学医院，除住院医生外，由主治医生对病房患者进行密切个性化监督的实验项目的最初目的是确定这种个性化护理是否会提高护理质量、降低成本和缩短住院时间。通过主观测量，人们感觉到护理质量有所提高。然而，与对照组相比，住院时间和医院收费均未降低。此外，数据表明，审核住院时间和医院收费不一定能衡量医疗护理质量。
