Evaluating the treatment of sexually transmitted diseases at an urban public hospital outpatient clinic. |
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Authors: | P G Shekelle and J Kosecoff |
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Affiliation: | UCLA Division of General Internal Medicine, Department of Medicine. |
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Abstract: | 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. We 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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