Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 1987 Dec;Spec No(Suppl):75-85.

Commentary on some studies on the quality of care

A Donabedian

Commentary on some studies on the quality of care

A Donabedian. Health Care Financ Rev. 1987 Dec.

Abstract

This essay is a personal commentary on general aspects of quality assessment that are either illustrated or challenged by the articles presented in this volume. It is not a critique of the individual papers in the collection; papers are mentioned in order to illustrate or clarify a point, without implication of either merit or demerit. This article addresses the definitions of quality, the relationship of cost to quality, approaches to assessing quality, the use of case fatality as an indicator of quality, measures of post-hospital morbidity, case-mix adjustment, sources of information, selection of referents, criteria and standards, quality assurance, the role of consumers, the prevalence of quality, the effects of prospective payment, and a research agenda.

PubMed Disclaimer

References

    1. Aday LA, Andersen R. A framework for the study of access to medical care. Health Services Research. 1974 Fall;9(3):208–220. - PMC - PubMed
    1. Barnett OG. The application of computer-based medical-record systems in ambulatory practice. New England Journal of Medicine. 1984 Jun 21;310(25):1643–1650. - PubMed
    1. Brewster AC, Karlin BG, Hyde LA, et al. MEDISGRPS: A clinically based approach to classifying hospital patients at admission. Inquiry. 1985 Winter;22(4):377–387. - PubMed
    1. Brook RH. Bureau of Health Services Research and Evaluation, Public Health Service. Quality of Care Assessment: A Comparison of Five Methods of Peer Review. Rockville, Md.: Health Resources Administration; Jul, 1973. DHEW Pub. No. HRA-74-31,000.
    1. Brook RH, Davies-Avery A, Greenfield S, et al. Assessing the quality of care using outcome measures: An overview of the method. Medical Care. 1977 Sept.15(9) Supplement:1–165. - PubMed

MeSH terms

LinkOut - more resources