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 ...
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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.
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Add this copy of Evaluating Critical Care: Using Health Services to cart. $35.10, good condition, Sold by Phatpocket Limited rated 4.0 out of 5 stars, ships from Waltham Abbey, ESSEX, UNITED KINGDOM, published 2002 by Springer.
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Add this copy of Evaluating Critical Care: Using Health Services to cart. $51.59, new condition, Sold by discount_scientific_books rated 3.0 out of 5 stars, ships from Sterling Heights, MI, UNITED STATES, published 2002 by Springer.
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New. Print on demand Trade paperback (US). Glued binding. 379 p. Contains: Unspecified, Illustrations, black & white. Update in Intensive Care and Emergency Medicine, 35.
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