03671nam 2200589Ia 450 991082683300332120240416235056.00-309-17326-41-280-18609-797866101860990-309-57068-90-585-08244-8(CKB)110986584752574(OCoLC)70772923(CaPaEBR)ebrary10057002(SSID)ssj0000200015(PQKBManifestationID)11178974(PQKBTitleCode)TC0000200015(PQKBWorkID)10219539(PQKB)10426229(MiAaPQ)EBC3376725(Au-PeEL)EBL3376725(CaPaEBR)ebr10057002(CaONFJC)MIL18609(OCoLC)817959643(EXLCZ)9911098658475257420040924d1999 my 0engurcn|||||||||txtccrMeasuring the quality of health care a statement by the National Roundtable on Health Care Quality, Division of Health Care Services, Institute of Medicine /Molla S. Donaldson, editor1st ed.Washington, D.C. National Academy Press19991 online resource (42 p.) Bibliographic Level Mode of Issuance: Monograph0-309-06387-6 Includes bibliographical references.Measuring the Quality of Health Care -- Copyright -- Preface and Acknowledgments -- ORGANIZATION OF THIS STATEMENT -- Contents -- Measuring the Quality of Health Care -- CAN QUALITY OF CARE BE DEFINED? -- Terms in the Definition -- What Is the Relationship Between Quality and Resource Constraints? -- WHERE DO QUALITY-OF-CARE CONCERNS LIE? -- Too Much Care: Unnecessary or Inappropriate Care -- Too Little Care: Underuse of Needed, Effective, and Appropriate Care -- Misuse: Shortcomings in Technical and Interpersonal Aspects of Care -- The Burden of Poor Quality -- WHAT ARE THE MAJOR APPROACHES TO QUALITY MEASUREMENT? -- Structural Measures of Quality -- Process Measures of Quality -- Outcomes Measurement -- The Importance of Linking Structure, Process, Outcomes, and Cost -- Measurement as a Continuous Process that Serves Multiple Purposes -- ADVANCES IN QUALITY MEASUREMENT -- Applying Research Methods to Address Real-World Quality Problems -- Combining Quality Measurement and Improvement to Reduce Adverse Drug Events -- Translating Clinical Guidelines into Useful Quality Measures -- The Development of Patient-Reported Measure of Quality -- Beginnings of Quality Measurement in Integrated Systems -- Amassing and Accessing the Burgeoning Toolkit of Quality Measures -- Infrastructure for the Development and Use of Measures -- Public-and Private-Sector Responsibilities -- Dissemination and Updating -- CHALLENGES -- Evaluating Measures -- Data Systems -- The Evidence Base of Medicine and Health Care -- Common Definitions and Measurement Methods -- Risk Adjustment -- Ensuring the Accuracy of Public Reporting -- Confidentiality -- The Cost of Quality Measurement, Improvement, and Poor Quality -- Who Is Responsible for Performance? -- CONCLUDING THOUGHTS -- References -- Committee Biographies.Medical careUnited StatesEvaluationPublic healthUnited StatesEvaluationMedical careEvaluation.Public healthEvaluation.Donaldson Molla S1604881MiAaPQMiAaPQMiAaPQBOOK9910826833003321Measuring the quality of health care3946165UNINA