LEADER 03671nam 2200589Ia 450 001 9910826833003321 005 20240416235056.0 010 $a0-309-17326-4 010 $a1-280-18609-7 010 $a9786610186099 010 $a0-309-57068-9 010 $a0-585-08244-8 035 $a(CKB)110986584752574 035 $a(OCoLC)70772923 035 $a(CaPaEBR)ebrary10057002 035 $a(SSID)ssj0000200015 035 $a(PQKBManifestationID)11178974 035 $a(PQKBTitleCode)TC0000200015 035 $a(PQKBWorkID)10219539 035 $a(PQKB)10426229 035 $a(MiAaPQ)EBC3376725 035 $a(Au-PeEL)EBL3376725 035 $a(CaPaEBR)ebr10057002 035 $a(CaONFJC)MIL18609 035 $a(OCoLC)817959643 035 $a(EXLCZ)99110986584752574 100 $a20040924d1999 my 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aMeasuring the quality of health care $ea statement by the National Roundtable on Health Care Quality, Division of Health Care Services, Institute of Medicine /$fMolla S. Donaldson, editor 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1999 215 $a1 online resource (42 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-309-06387-6 320 $aIncludes bibliographical references. 327 $aMeasuring 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. 606 $aMedical care$zUnited States$xEvaluation 606 $aPublic health$zUnited States$xEvaluation 615 0$aMedical care$xEvaluation. 615 0$aPublic health$xEvaluation. 701 $aDonaldson$b Molla S$01604881 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910826833003321 996 $aMeasuring the quality of health care$93946165 997 $aUNINA