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ERIC Number: ED164866
Record Type: RIE
Publication Date: 1978-Jul
Pages: 46
Abstractor: N/A
Reference Count: 0
Needed Research in the Assessment and Monitoring of the Quality of Medical Care. NCHSR Research Report Series.
Donabedian, Avedis
In this paper the author assesses the state-of-the-art on quality assessment and monitoring of medical care and makes recommendations for needed research in this area. Following a brief introduction, the content is presented in two sections. The first, providing a frame of reference, covers definitions; quality assessment and program evaluation; relationship of quality and quantity; relationship of quality and cost; strategies of care; structure, process, and outcome; monitoring versus research; and the uses of outcomes. The second section presents a catalog of needed research on assessing and monitoring the quality of medical care. The research areas covered are as follows: basic explorations and studies of what constitutes quality, description of prevalent patterns and strategies of care, the epidemiology of quality, the relationship of structure to process or outcome, development of basic tools for assessment, specification and testing of system-design elements, comparative studies of quality using different approaches, further development of promising current approaches, integrative measures of quality, applications to special areas, consumer perspectives and the consumer's role, quality assessment and monitoring as a social process, and effectiveness and the factors that influence it. An extensive bibliography is attached. (EM)
National Center for Health Services Research, Office of Scientific and Technical Information, 3700 East-West Highway, Room 7-44, Hyattsville, Maryland 20782
Publication Type: Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: National Center for Health Services Research and Development (DHEW/PHS), Rockville, MD.