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Measuring quality of care

Article Abstract:

It is probably best to use measures of process to evaluate quality of care. However, there must be scientific evidence that these processes will lead to improvements in health. Measures of process primarily cover the medical treatments and tests that are ordered by a physician. Measures of outcome refer to the subsequent improvement in health resulting from the treatment. However, improvements in health often take a long time to manifest. And not everyone improves to the same extent. Most measures of process will be compared to a standard, which is often developed after extensive scientific research.

Author: Cleary, Paul D., Brook, Robert H., McGlynn, Elizabeth A.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996
Methods, Outcome and process assessment (Health Care), Outcome and process assessment (Medical care)

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Development of a quality of care measurement system for children and adolescents: methodological considerations and comparisons with a system for adult women

Article Abstract:

It is possible to develop quality of care indicators in pediatrics although there is less evidence to support these practices in children than in adults. Researchers developed 557 indicators for 21 pediatric topics and 391 indicators for 20 topics in women's health care. The indicators covered preventive and acute care as well as screening, diagnosis, history and physical exam and medications. Expert panels evaluated the indicators and retained about 80% in both cases. There was more evidence to support the indicators for women's health care than those for pediatric care.

Author: Asch, Steven M., McGlynn, Elizabeth A., Schuster, Mark A., Kerr, Eve A., Hardy, Alison M., Gifford, Deidre S.
Publisher: American Medical Association
Publication Name: Archives of Pediatrics & Adolescent Medicine
Subject: Health
ISSN: 1072-4710
Year: 1997
Medicine, Practice, Medical practice

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The quality of ambulatory care delivered to children in the United States

Article Abstract:

A study aims to assess the extent of care delivered to pediatric outpatients. The results conclude that deficits do exist in the quality of care administered to children and strategies for improvement are required.

Author: McGlynn, Elizabeth A., Schuster, Mark A., Klein, David J., Keesey, Joan, Adams, John L., Setodji, Claude M., Mangione-Smith, Rita, DeCristofaro, Alison H.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2007
United States, Outpatient Care Facilities, Outpatient Care Centers, Product quality, HEALTH SERVICES, Ambulatory care facilities, Clinics

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Subjects list: Medical care, Quality management, Medical care quality
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