Update in Intensive Care 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 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.

Table of contents (25 chapters)

  • Introduction — Critical Care: Problems, Boundaries and Outcomes

    Bion, J. F. (et al.)

    Pages 3-5

  • Health Services Research: A Domain where Disciplines and Decision Makers Meet

    Lomas, J.

    Pages 6-19

  • The Structure of Intensive Care

    G. D. Rubenfeld

    Pages 23-40

  • Process of Care Assessment and the Evaluation of Outcome from Intensive Care

    Knaus, W. A.

    Pages 41-50

  • Severity of Illness

    Moreno, R.

    Pages 51-68

Buy this book

eBook $84.99
price for USA (gross)
  • ISBN 978-3-642-56719-3
  • Digitally watermarked, DRM-free
  • Included format: PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Softcover $109.00
price for USA
  • ISBN 978-3-540-42606-6
  • 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 Medicine
Copyright
2002
Publisher
Springer-Verlag Berlin Heidelberg
Copyright Holder
Springer Science+Business Media New York
eBook ISBN
978-3-642-56719-3
DOI
10.1007/978-3-642-56719-3
Softcover ISBN
978-3-540-42606-6
Series ISSN
1610-4056
Edition Number
1
Number of Pages
XIII, 379
Topics