RT Journal
A1 Holmboe ES, Lipner R, Greiner A
T1 Assessing quality of care: Knowledge matters
JF JAMA
JO JAMA
YR 2008
FD January 23
VO 299
IS 3
SP 338
OP 340
DO 10.1001/jama.299.3.338
UL http://dx.doi.org/10.1001/jama.299.3.338
AB 

      Significant quality-of-care gaps are well documented in the United States.1- 2
        These reports have focused mostly on underuse of performance measures of important processes of care, and some outcomes of care.1
          Others have argued that the cause of underuse of these evidence-based processes of care is usually not deficient physician knowledge about whether to perform the examination or order the test, but rather poorly designed, dysfunctional microsystems of care unable to deliver effective, efficient, and reliable care.3- 4