Evaluating the Quality of Medical Care
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A review of the literature on quality assessment of medical care can be found in this article, where the authors focus almost exclusively on the evaluation of the medical care process at the level of physician-patient interaction.Abstract:
This p aper i s a n a ttempt t o d escribe a nd evaluate current methods for assessing the quality of medical care and to suggest some directions for further study. It is concerned with methods rather than findings, and with an evaluation of methodology in general, rather than a detailed critique of methods in specific studies. This is not an exhaustive review of the pertinent literature. Certain key studies, of course, have been included. Other papers have been selected only as illustrative examples. Those omitted are not, for that reason, less worthy of note. This paper deals almost exclusively with the evaluation of the medical care process at the level of physician-patient interaction. It excludes, therefore, processes primarily related to the effective delivery of medical care at the community level. Moreover, this paper is not concerned with the administrative aspects of quality control. Many of the studies reviewed here have arisen out of the urgent need to evaluate and control the quality of care in organized programs of medical care. Nevertheless, these studies will be discussed only in terms of their contribution to methods of assessment and not in terms of their broader social goals. The author has remained, by and large, in the familiar territory of care provided by physicians and has avoided incursions into other types ofread more
Citations
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The Quality of Care: How Can It Be Assessed?
TL;DR: Assessing quality depends on whether one assesses only the performance of practitioners or also the contributions of patients and of the health care system, on how broadly health and responsibility for health are defined, and on whether the maximally effective or optimally effective care is sought.
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Quality of life and satisfaction with outcome among prostate-cancer survivors.
Martin G. Sanda,Rodney L. Dunn,Jeff M. Michalski,Howard M. Sandler,Laurel L. Northouse,Larry Hembroff,Xihong Lin,Thomas K. Greenfield,Mark S. Litwin,Mark S. Litwin,Christopher S. Saigal,Arul Mahadevan,Eric A. Klein,Adam S. Kibel,Louis L. Pisters,Deborah A. Kuban,Irving D. Kaplan,Darien Wood,Jay P. Ciezki,Nikhil L. Shah,John T. Wei +20 more
TL;DR: Each prostate-cancer treatment was associated with a distinct pattern of change in quality-of-life domains related to urinary, sexual, bowel, and hormonal function, and these changes influenced satisfaction with treatment outcomes among patients and their spouses or partners.
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High-quality health systems in the Sustainable Development Goals era: time for a revolution
Margaret E Kruk,Anna D. Gage,Catherine Arsenault,Keely Jordan,Hannah H. Leslie,Sanam Roder-DeWan,Olusoji Adeyi,Pierre M. Barker,Bernadette Daelmans,Svetlana V. Doubova,Mike English,Ezequiel García Elorrio,Frederico C. Guanais,Oye Gureje,Lisa R. Hirschhorn,Lixin Jiang,Edward Kelley,Ephrem T. Lemango,Jerker Liljestrand,Address Malata,Tanya Marchant,Malebona Precious Matsoso,John G. Meara,Manoj Mohanan,Youssoupha Ndiaye,Ole Frithjof Norheim,K. Srinath Reddy,Alexander K. Rowe,Joshua A. Salomon,Gagan Thapa,Nana A Y Twum-Danso,Muhammad Pate +31 more
TL;DR: High-quality health systems in the Sustainable Development Goals era: time for a revolution.
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References
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Journal ArticleDOI
Reasoning foundations of medical diagnosis; symbolic logic, probability, and value theory aid our understanding of how physicians reason.
Robert S. Ledley,Lee B. Lusted +1 more
Journal ArticleDOI
A Study of Organizational Effectiveness
TL;DR: The present paper has three objectives: to examine the concept of effectiveness and to provide a definition deriving from the nature of organizations, to develop operational criteria and to measure the concept in a specific industrial setting.
Journal ArticleDOI
An Analytical Study of North Carolina General Practice 1953-1954.
TL;DR: This remarkable analytical study of general practice in North Carolina in 1953-1954 should be studied and meditated upon by physicians in practice and those who teach them.