PMID: 794080Jan 1, 1976Paper

Emergency room management of patients with sore throats in a teaching hospital: influence of non-physician factors

Journal of Community Health
S W Fletcher, C Hamann


The care of 169 patients with sore throats was evaluated retrospectively to determine if the quality of medical care received in a teaching hospital's emergency room is associated with the degree of control managing physicians have over the medical care process. Diagnostic evaluation (temperature, throat and cervical node examination, and throat culture) was controlled by physicians and was judged adequate in 78% to 98% of the patients. Therapy, defined as appropriate antibiotics prescribed only for patients with positive throat cultures for group A beta-hemolytic streptococcus, was dependent on hospital support services, and the patients, as well, and was judged adequate for 62% of the patients; however, in only one of the 67 patients treated with antibiotics was the culture result known before treatment. The bacteriology laboratory processed the cultures slowly; no administrative mechanism existed to follow up patients. Thus, when medical care involved factors outside physicians' direct control, lower qualtiy care was given.


Aug 22, 1974·The New England Journal of Medicine·S W FletcherM Bourgois
Jun 21, 1973·The New England Journal of Medicine·R H Brook, F A Appel
Oct 25, 1971·JAMA : the Journal of the American Medical Association·J W Williamson
Nov 3, 1969·JAMA : the Journal of the American Medical Association·L GordisR Rodriguez
Oct 22, 1970·The New England Journal of Medicine·R H Brook, R L Stevenson
Jun 13, 1963·The New England Journal of Medicine·A B BERGMAN, R J WERNER
Nov 23, 1964·JAMA : the Journal of the American Medical Association·A S EVANS, E C DICK
Dec 1, 1961·Journal of Chronic Diseases·R R HUNTLEYB S PASTERNACK
May 13, 1950·Journal of the American Medical Association·F W DENNYE A CUSTER

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