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Defining quality of care

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  • Campbell, S. M.
  • Roland, M. O.
  • Buetow, S. A.
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    Abstract

    This paper defines quality of health care. We suggest that there are two principal dimensions of quality of care for individual patients; access and effectiveness. In essence, do users get the care they need, and is the care effective when they get it? Within effectiveness, we define two key components -- effectiveness of clinical care and effectiveness of inter-personal care. These elements are discussed in terms of the structure of the health care system, processes of care, and outcomes resulting from care. The framework relates quality of care to individual patients and we suggest that quality of care is a concept that is at its most meaningful when applied to the individual user of health care. However, care for individuals must placed in the context of providing health care for populations which introduces additional notions of equity and efficiency. We show how this framework can be of practical value by applying the concepts to a set of quality indicators contained within the UK National Performance Assessment Framework and to a set of widely used indicators in the US (HEDIS). In so doing we emphasise the differences between US and UK measures of quality. Using a conceptual framework to describe the totality of quality of care shows which aspects of care any set of quality indicators actually includes and measures and, and which are not included.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 51 (2000)
    Issue (Month): 11 (December)
    Pages: 1611-1625

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    Handle: RePEc:eee:socmed:v:51:y:2000:i:11:p:1611-1625

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    Related research

    Keywords: Quality Care HEDIS NHS;

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    Cited by:
    1. Harteloh, P. P. M., 2003. "Quality systems in health care: a sociotechnical approach," Health Policy, Elsevier, vol. 64(3), pages 391-398, June.
    2. Rossella Levaggi & Michele Moretto & Vincenzo Rebba, 2007. "Investment decisions in hospital technology when physicians are devoted workers," "Marco Fanno" Working Papers 0048, Dipartimento di Scienze Economiche "Marco Fanno".
    3. Magnus Lindelow, 2004. "Understanding spatial variation in the utilization of health," Development and Comp Systems 0409058, EconWPA.
    4. Hilarion, Pilar & Suol, Rosa & Groene, Oliver & Vallejo, Paula & Herrera, Elisabeth & Saura, Rosa Maria, 2009. "Making performance indicators work: The experience of using consensus indicators for external assessment of health and social services at regional level in Spain," Health Policy, Elsevier, vol. 90(1), pages 94-103, April.
    5. Cordero Ferrera, Jose Manuel & Alonso Morán, Edurne & Nuño Solís, Roberto & Orueta, Juan F. & Souto Arce, Regina, 2013. "Efficiency assessment of primary care providers: A conditional nonparametric approach," MPRA Paper 51926, University Library of Munich, Germany.
    6. Cornelia Prejmerean & Simona Vasilache, 2009. "Study regarding Customer Perception of Healthcare Service Quality in Romanian Clinics, Based on their Profile," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 11(26), pages 298-304, June.
    7. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    8. Van Herck, Pieter & Annemans, Lieven & De Smedt, Delphine & Remmen, Roy & Sermeus, Walter, 2011. "Pay-for-performance step-by-step: Introduction to the MIMIQ model," Health Policy, Elsevier, vol. 102(1), pages 8-17, September.
    9. Liu, Hu-Chen, 2013. "A theoretical framework for holistic hospital management in the Japanese healthcare context," Health Policy, Elsevier, vol. 113(1), pages 160-169.
    10. Robin Thompson & Ana Xavier, 2004. "Are Patients in the Transition World Paying Unofficially to Stay Longer in Hospital? Some Evidence from Kazakhstan," LICOS Discussion Papers 14004, LICOS - Centre for Institutions and Economic Performance, KU Leuven.
    11. Nakaima, April & Sridharan, Sanjeev & Gardner, Bob, 2013. "Towards a performance measurement system for health equity in a local health integration network," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 204-212.
    12. Ashill, Nicholas J. & Rod, Michel, 2011. "Burnout processes in non-clinical health service encounters," Journal of Business Research, Elsevier, vol. 64(10), pages 1116-1127, October.
    13. Olena Kalinichenko & Carla A. F. Amado & Sérgio P. Santos, 2013. "Performance Assessment in Primary Health Care: A Systematic Literature Review," CEFAGE-UE Working Papers 2013_03, University of Evora, CEFAGE-UE (Portugal).

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