"Rigid Class System in Europe" Bob Roll Comments

I wrote:

Right, I wasn't implying that satisfaction is a reliable metric. In
fact, I was citing an ancient study because I don't usually pay any
attention to satisfaction data so I'm not up-to-date on it.

I do, however, have a more appropriate example, even though it's an
anecdote. A friend was trying to demonstrate that patient satisfaction
surveys aren't terribly useful as an objective measure of quality of
care. He got permission to do in-depth interviews with women who had
been recently discharged after childbirth from a couple of hospitals in
his area. Almost everyone was very satisfied with their care, citing the
friendliness of the staff, the attractiveness of the rooms, the ability
to have their partners with them, that sort of thing. However, when he
went deeper into the interviews he uncovered nearly half who either had
themselves or whose babies had post-natal complications: almost all of
them were minor, but they were still conditions that could be linked to
sub-standard care. He gave a report to the hospitals' administrations.
You can see this coming: rather than taking this as evidence that
patient satisfaction doesn't capture all aspects of quality of care, the
administrations took it as a sign that they had been successful in
getting the staff to be friendly and that their room remodeling had been
successful.

Not the same study, but same result:
http://online.wsj.com/article_email/...zUwODc0Wj.html

On 6 Sep 2006 23:22:05 -0700, "Pudd'nhead Wilson"
wrote:

Robert Chung wrote:

I'd say anyone who thinks that waiting time is the only determinant
of quality of care isn't competent to discuss quality of care.

I'd say that no care is about as bad as it gets, especially when
you're talking about diagnostic procedures.

in 526117 20060907 164606 Jack Hollis wrote:
On 6 Sep 2006 23:22:05 -0700, "Pudd'nhead Wilson"
wrote:

Robert Chung wrote:

I'd say anyone who thinks that waiting time is the only determinant
of quality of care isn't competent to discuss quality of care.

I'd say that no care is about as bad as it gets, especially when
you're talking about diagnostic procedures.

Jack, what is it with you and this chip on your shoulder?
Those of us who live in the UK are generally happy with the NHS.
By your own admission you are repeating 20-year-old moans of
an ex-pat.

Pudd'nhead Wilson wrote:
Yes, do get back to "interesting" talk about bike racing.


Dumbass,

Don't let anyone see you with long white socks and Oakleys.
Your credibility on health care policy will be in the ****ter
for sure.

If you guys want something interesting, check out my business
web page:

http://www.rsplastic.com/

Bob 'Call me Robert' Schwartz

Bob Schwartz wrote:

snip
If you guys want something interesting, check out my business
web page:

http://www.rsplastic.com/

Do you ever wake up with a nagging feeling that you've overinflated your
tires?

--
Bill Asher

Bob Martin wrote:

Jack, what is it with you and this chip on your shoulder?

His brand of kook-fu is very powerful.

Jack Hollis, quoting gwhite, wrote:

Robert Chung wrote:

I'd say anyone who thinks that waiting time is the only determinant
of quality of care isn't competent to discuss quality of care.

I'd say that no care is about as bad as it gets, especially when
you're talking about diagnostic procedures.

Then we agree on one of the reasons why general health status in the US is
worse than in the UK: we've got 45 million uninsured and they've got
universal coverage.

But even for those who are insured and have access to care, the UK appears
to do no worse and sometimes better:
http://jama.ama-assn.org/cgi/content/full/295/17/2037 and
http://roysocmed.ac.uk/media/downloa...09diabetes.pdf

And it costs them less.

William Asher wrote:
Bob Schwartz wrote:

snip
If you guys want something interesting, check out my business
web page:

http://www.rsplastic.com/

Do you ever wake up with a nagging feeling that you've overinflated your
tires?

I also work with fatty masters:
http://www.rsplastic.com/malebreastreduc.php

Bob Schwartz

Bob Schwartz wrote:

I also work with fatty masters:
http://www.rsplastic.com/malebreastreduc.php

You work with fatheads?

Bob Schwartz wrote:
William Asher wrote:
Bob Schwartz wrote:

snip
If you guys want something interesting, check out my business
web page:

http://www.rsplastic.com/

Do you ever wake up with a nagging feeling that you've overinflated your
tires?

I also work with fatty masters:
http://www.rsplastic.com/malebreastreduc.php

Bob Schwartz

So how many gynecomastias do you get to fix every year, ansd how many
are "athletes"?
Bill C