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Handbook of Quality Assurance in Mental Health (Paperback, Softcover reprint of the original 1st ed. 1988)
Loot Price: R1,616
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Handbook of Quality Assurance in Mental Health (Paperback, Softcover reprint of the original 1st ed. 1988)
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professional-standards-review organizations (PSRO) in defining
quality of care for the Medicare program; it is a "shared
responsibility of health professionals and government to provide a
reasonable basis for confidence that action will be taken, both to
assess whether services meet professionally recognized standards
and to correct any deficiencies that may be found" (p. 14). Similar
pronouncements have been made for the quality assurance activities
of the Department of Defense's CHAMPUS program and of the 1980s
successor to the PSROs, the federally designated peer-review
organizations (PROs), established to ensure quality and
utilization-efficient care for Medicare. Links between the federal
and state gov ernments and between professional associations and
private review entities have been developed to make this "shared
responsibility" manifest in the delivery and reimbursement of
health services. This responsibility is seen in light of both pro
fessional and legal accountability, a view noted by Gibson and
Singhas (1978) and Alger (1980). Accountability, then, becomes a
concentric concept that elaborates on the pure view of quality and
reflects the federal government's consumer protection activities
during the 1970s. The Joint Commission on Accreditation of
Hospitals (JCAH), which has pro vided another primary historical
leadership role in defining quality assurance, has promoted the
evolution of the concept of resource limitations as a part of the
defini tion of quality assurance.
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