Criteria of Process and Outcome

Daniel S. Fleisher, Robert L. Kane, F. Ross Woolley, W. Jeffrey Fessel, Donald W. Simborg, Robert H. Brook, Fred T. Nobrega, George W. Morrow

Research output: Contribution to journalLetterpeer-review

1 Scopus citations


To the Editor: The article by Nobrega et al. on “Quality Assessment in Hypertension: Analysis of process and outcome methods” (N Engl J Med 296:145, 1977) and the accompanying editorial by Brook (296:170, 1977) make the point that no relation exists between long laundry lists of process criteria and patient outcomes. I hope the importance of this message is not lost to those undertaking medical audits. I fear, however, that many readers may carry that point beyond what the authors actually say — namely, that there is no relation between process and outcome. If this hypothesis were true there.

Original languageEnglish (US)
Pages (from-to)1009-1011
Number of pages3
JournalNew England Journal of Medicine
Issue number17
StatePublished - Apr 28 1977


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