Evaluating the Extent to Which Concurrently Collected Diagnosis Can be Substituted for Retrospective Diagnosis at Darnall Army Community Hospital, Fort Hood, Texas
Study rept. Jul 1980-Apr 1981
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
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This study examined the effectiveness of using concurrently collected diagnoses as a substitution for retrospective diagnoses for establishing diagnostic categorization of patients. The discrepancies between concurrent, concurrent additional, and retrospective diagnoses were evaluated from medical cases throughout the medical services provided. The author found an unacceptable discrepancy rate between the diagnoses compared. The principal problem was a lack of updating of diagnosis after admittance of the patient. The author concluded that under the current diagnostic system diagnoses are not sensitive enough to completely evaluate a patients treatment sufficiently to base a performance budget system upon. Keywords Military medicine Medical services Army facilities Theses.
- Medicine and Medical Research