Update in Intensive Care and Emergency Medicine

Evaluating Critical Care

Using Health Services Research to Improve Quality

Editors: Sibbald, William J., Bion, Julian F. (Eds.)

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About this book

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.

Buy this book

Softcover $99.00
price for USA
  • ISBN 978-0-387-95381-6
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
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Bibliographic Information

Bibliographic Information
Book Title
Evaluating Critical Care
Book Subtitle
Using Health Services Research to Improve Quality
Editors
  • William J. Sibbald
  • Julian F. Bion
Series Title
Update in Intensive Care and Emergency Medicine
Series Volume
35
Copyright
2002
Publisher
Springer-Verlag New York
Copyright Holder
Springer-Verlag Berlin Heidelberg
Softcover ISBN
978-0-387-95381-6
Series ISSN
0933-6788
Edition Number
1
Number of Pages
XIII, 379
Number of Illustrations and Tables
31 b/w illustrations
Topics