We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Why Medical Audits Are in Disfavor

Robert A. Dershewitz, MD, MSc; Richard J. Gross, MD, MSc
Arch Intern Med. 1980;140(2):168-169. doi:10.1001/archinte.1980.00330140026011.
Text Size: A A A
Published online


The Professional Standards Review Organization legislation enacted in 1972 (Public Law 92-603) had dual, interrelated objectives2: cost saving by reimbursing only for necessary services and hospital admissions, and assuring quality of care to patients by peer review. The first goal was to be achieved by utilization review, while medical care evaluation (MCE) studies were to satisfy the quality assurance component. In April 1979, the Joint Commission on Hospital Accreditation, while supporting the necessity for effective quality assurance programs, deemphasized the MCE component. The MCE studies are a type of medical audit and for the purposes of this discussion are used interchangeably with process-oriented medical audits. It is the purpose of this editorial to examine why MCE studies, which are commonly performed in accredited hospitals, have failed to substantially affect patient care.

The language of quality assurance breeds confusion, since the vocabulary is technical and the same terms are frequently


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.