书目名称 | Evaluating Critical Care | 副标题 | Using Health Service | 编辑 | William J. Sibbald (Professor of Medicine, Physici | 视频video | | 概述 | Includes supplementary material: | 丛书名称 | Update in Intensive Care Medicine | 图书封面 |  | 描述 | 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 wha | 出版日期 | Book 2002 | 关键词 | care; critical care; development; education; evaluation; health services; health services research; hospita | 版次 | 1 | doi | https://doi.org/10.1007/978-3-642-56719-3 | isbn_softcover | 978-3-540-42606-6 | isbn_ebook | 978-3-642-56719-3Series ISSN 1610-4056 | issn_series | 1610-4056 | copyright | Springer Science+Business Media New York 2002 |
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