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Sharing unblinded data means naming names: How physician A compares with physician B, how one care manager is doing compared with another. "We shared the clinical data openly, not with the world, but with the practices and among care managers," Bruno said. "A good way to improve is to look at the data and develop plans to follow up and measure again." This perceived failure in the 1980s efficiency measures has been attributed, in part, to a service provision that simply grew and grew without much consideration or systematic evaluation of the needs served or calculation of the benefits to the community as a whole (Ackroyd, 1995).
Publisher: Anmol Publications Pvt Ltd (December 1, 2003)
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