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September 1978 (Volume 56)
Quarterly Article
John D. Thompson
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Florence Nightingale’s mid-nineteenth century proposals for standard classification of diseases were a model for assessing quality of hospital care. A century later, health planning, management, and evaluation are still in pursuit of her unrealized-and imperfect-objectives. Historical, statistical, and epidemiological limitations to linking the cost and outcome of treating patients and populations are examined; an integrated model is offered for operational rapprochement between medical and administrative services.
Author(s): John D. Thompson
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Volume 56, Issue 3 (pages 253–273) Published in 1978
