EducationMeasuring the quality of surgical care: structure, process, or outcomes?1Birkmeyer, John D. MD, FACS†,*; Dimick, Justin B. MD∗,†; Birkmeyer, Nancy J.O. PhD† Author Information ∗Center for Surgical Evaluation and Policy, Department of Surgery, University of Michigan, Ann Arbor, MI, USA †VA Outcomes Group, VA Medical Center, White River Junction, VT, USA Correspondence address: John D Birkmeyer, Section of General Surgery, University of Michigan, 2920 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0331 USA Submitted September 17, 2003; accepted November 26, 2003. Supported by a grant from the National Cancer Institute (1 RO1 CA098481-01A1). Dr John Birkmeyer is a consultant for the Leapfrog Group and chairs its expert panel on Evidence-Based Hospital Referral. Dr Dimick is also a consultant for the Leapfrog Group. 1No competing interests declared. Journal of the American College of Surgeons: April 2004 - Volume 198 - Issue 4 - p 626-632 doi: 10.1016/j.jamcollsurg.2003.11.017 Buy Metrics © 2004 by Lippincott Williams & Wilkins, Inc.