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Evaluating Critical Care - Using Health Services Research to Improve Quality (Paperback)
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Evaluating Critical Care - Using Health Services Research to Improve Quality (Paperback)
Series: Update in Intensive Care and Emergency Medicine, 35
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Measuring the quality of a complex service like critical care that
combines the highest technology with the most intimate caring is a
challenge. Recently, con sumers, clinicians, and payers have
requested more formal assessments and comparisons of the quality
and costs of medical care [2]. Donabedian [1] pro posed a framework
for thinking about the quality of medical care that separates
quality into three components: structure, process, and outcome. An
instructive analogy for understanding this framework is to imagine
a food critic evaluating the quality of a restaurant. The critic
might comment on the decoration and lighting of the restaurant, how
close the tables are to each other, the extent of the wine list and
where the chef trained. These are all evaluations of the restaurant
structure. In addition, the critic might comment on whether the
service was courteous and timely - measures of process. Finally,
the critic might comment on outcomes like customer satisfaction or
food poisoning. Similarly, to a health care critic, structure is
the physical and human resources used to deliver medi cal care.
Processes are the actual treatments offered to patients. Finally,
outcomes are what happens to patients, for example, mortality,
quality of life, and satisfac tion with care (Table 1). There is a
debate about which of these measurements is the most important
measure of quality.
General
Imprint: |
Springer-Verlag New York
|
Country of origin: |
United States |
Series: |
Update in Intensive Care and Emergency Medicine, 35 |
Release date: |
2002 |
First published: |
2002 |
Editors: |
William J. Sibbald
• Julian F. Bion
|
Dimensions: |
235 x 155 x 21mm (L x W x T) |
Format: |
Paperback
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Pages: |
379 |
ISBN-13: |
978-0-387-95381-6 |
Categories: |
Books >
Medicine >
General issues >
General
|
LSN: |
0-387-95381-7 |
Barcode: |
9780387953816 |
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