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Quality and Safety in Health Care 2008;17:76-78; doi:10.1136/qshc.2007.023705
Copyright © 2008 by the BMJ Publishing Group Ltd.
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HEROES AND MARTYRS

Homeopathy or regular medicine? Cook County Hospital, Chicago, Illinois, 1882–1887: evidence, politics, customer choice and provider perceptions at work

D Neuhauser, M Diaz

Department of Epidemiology and Biostatistics, Medical School, Case Western Reserve University

Correspondence to:
D Neuhauser, Department of Epidemiology and Biostatistics, Medical School, Case Western Reserve University; dvn@case.edu

Accepted 6 August 2007

The first 150 words of the full text of this article appear below.

"The customer does not have to understand. The customer is the customer."

Philip Crosby 19801

"Quality isn’t asserted by the supplier; its perceived by the customer."

John Guaspari 19882

"Make a habit of discussing a problem on the basis of the data and respecting the facts shown by them."

Kaoru Ishikawa 19923

"We must trust to nothing but facts. These are presented to us by Nature and cannot deceive. We ought in every instance to submit our reasoning to the test of experiment."

Antoine Lavoisier 1743–17944

"The truth is that medicine ... is sensitive to outside influences." [... including politics.]

Oliver Wendell Holmes 1809–18945

These five quotations relate to four forces that can shape medical care and its quality: the marketplace (voice of the customer), the scientific facts (two quotes), politics and provider perceptions.

To understand the reality of healthcare delivery, we need to look for the interplay of root . . . [Full text of this article]






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