Evaluating the Treatment of Sexually Transmitted Diseases at an Urban Public Hospital Outpatient Clinic

Published in: American Journal of Public Health, v. 82, no. 1, Jan. 1992, p. 115-117

by Paul G. Shekelle, Jacqueline Kosecoff

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Sexually transmitted diseases occur disproportionately among the poor, are often treated in public hospitals and clinics, and have not been subjected to quality-of-care evaluation. The authors designed a medical record abstraction system using well-established, specific process-of-care criteria drawn from the medical literature and experts and grouped into three levels of quality: excellent, adequate, and minimal. One hundred seventy-six consecutive patients were identified from the clinic logbook and their medical records abstracted. Deficiencies in history taking, physical examination, laboratory testing, treatment, and public health reporting were identified.

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