Evaluating Critical Care
Using Health Services Research to Improve Quality
(Sprache: Englisch)
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...
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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 ofthe restaurant, how close the tables are to each other, the extent ofthe 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.
Inhaltsverzeichnis zu „Evaluating Critical Care “
From the contents:- Critical care: problems, boundaries and outcomes
- Health services research (HSR): a domain where disciplines and decision makers meet
- The structure of intensive care
- Process of care assessment and the evaluation of outcome from IC
- Severity of illness
- Measuring treatment outcomes in IC: mortality, morbidity, and organ dysfunction
- Health-related quality of life: during and following critical care
- Comparing ICU populations: background and current methods
- A hospital-wide system for managing the seriously ill: a model of applied HSR
- Funding and support
- The integration of evidence-based medicine and HSR in the ICU
- What are the results: using systematic reviews to inform decision makers
- Consensus methods and consumer opinion
- Benchmarking in the ICU: the measurement of costs and outcome to analyze efficiency and efficacy
- Assessment of medical devices
- Health informatics
- Registries and networks
- Organizational effects on outcomes
- Geographical variations in outcomes
Bibliographische Angaben
- 2002, 2002, XIII, 379 Seiten, Maße: 15,5 x 23,5 cm, Kartoniert (TB), Englisch
- Herausgegeben: William J. Sibbald, Julian F. Bion
- Verlag: Springer, Berlin
- ISBN-10: 354042606X
- ISBN-13: 9783540426066
Sprache:
Englisch
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