Clinical Experience and Quality of Health Care
Authors: Niteesh K. Choudhry, Robert H. Fletcher, Stephen B. Soumerai
Journal: Annals of Internal Medicine (2005)

Letters5 July 2005Clinical Experience and Quality of Health CareNiteesh K. Choudhry, MD, PhD, Robert H. Fletcher, MD, MSc, and Stephen B. Soumerai, ScDNiteesh K. Choudhry, MD, PhDFrom Harvard Medical School, Boston, MA 02215.Search for more papers by this author, Robert H. Fletcher, MD, MScFrom Harvard Medical School, Boston, MA 02215.Search for more papers by this author, and Stephen B. Soumerai, ScDFrom Harvard Medical School, Boston, MA 02215.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-143-1-200507050-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Drs. Samuels and Ropper raise concerns that our search strategy was “not in the least systematic” and was “circuitous.” We identified studies from multiple sources and applied explicit inclusion and exclusion criteria; this process and its reporting are precisely what make our review systematic. We used methods recommended by the Cochrane Collaboration (1), which are similar to those frequently presented in the clinical literature.Drs. Samuels and Ropper take issue with the outcomes we evaluated, asserting that “[p]atients do not seek consultation for a more fastidious application of standards.” We agree that many aspects of health care do ...References1. Alderson P, Green S, Higgins JP, eds. Cochrane Reviewers Handbook 4.2.3.. In: Alderson P, Green S, Higgins JP, eds. Cochrane Library, Issue 1. Chichester, UK: J Wiley; 2005. Google Scholar2. Moher D, Jadad AR, Tugwell P. Assessing the quality of randomized, controlled trials. Current issues and future directions. Int J Technol Assess Health Care. 1996;12:195-208. [PMID: 8707495] CrossrefMedlineGoogle Scholar3. Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, et al. Changing provider behavior: an overview of systematic reviews of interventions. Med Care. 2001;39:2-45. [PMID: 11583120] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Niteesh K. Choudhry, MD, PhD; Robert H. Fletcher, MD, MSc; Stephen B. Soumerai, ScDAffiliations: From Harvard Medical School, Boston, MA 02215.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSystematic Review: The Relationship between Clinical Experience and Quality of Health Care Niteesh K. Choudhry , Robert H. Fletcher , and Stephen B. Soumerai Clinical Experience and Quality of Health Care Martin A. Samuels and Allan H. Ropper Clinical Experience and Quality of Health Care Roy M. Poses and Joseph A. Diaz Clinical Experience and Quality of Health Care Ronald S. Szabo Clinical Experience and Quality of Health Care Geoffrey R. Norman and Kevin W. Eva Clinical Experience and Quality of Health Care Elizabeth W. Loder Clinical Experience and Quality of Health Care Niteesh K. Choudhry , Robert H. Fletcher , and Stephen B. Soumerai Clinical Experience and Quality of Health CareThe Editors Metrics 5 July 2005Volume 143, Issue 1Page: 86-87KeywordsHealth careHealth care providersHealth care qualityMedical educationMortalityObservational studiesPatientsResearch quality assessmentSystematic reviewsTreatment guidelines ePublished: 5 July 2005 Issue Published: 5 July 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...