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
. 2007 Jan;22(1):137-9.
doi: 10.1007/s11606-006-0031-1.

Professionalism and evolving concepts of quality

Affiliations

Professionalism and evolving concepts of quality

Jeffrey N Katz et al. J Gen Intern Med. 2007 Jan.

Abstract

For much of the twentieth century, quality of care was defined specifically in terms of physician characteristics and behaviors. High-quality physicians were well trained, knowledgeable, skillful, and compassionate. More recently, quality of care has been defined in terms of systems of care. High-quality organizations develop and adopt practices to reduce adverse events and optimize outcomes. This essay discusses this transformation from physician-based to organization-based concepts of quality and the consequences for patient care and medical professionalism.

PubMed Disclaimer

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15867408', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15867408/'}]}
    2. Amalberti R, Auroy Y, Berwick D, Barach P. Five system barriers to achieving ultrasafe health care. Ann Intern Med, 2005;142:756–64. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.294.14.1788', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.294.14.1788'}, {'type': 'PubMed', 'value': '16219882', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16219882/'}]}
    2. Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance: from concept to practice. JAMA, 2005;294:1788–93. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.293.19.2384', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.293.19.2384'}, {'type': 'PubMed', 'value': '15900009', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15900009/'}]}
    2. Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA, 2005;293:2384–90. - PubMed
    1. None
    2. Medicine Io. To Err is Human: Building a Better Health Care System. Washington, DC: Institute of Medicine, 2000.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.265.24.3265', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.265.24.3265'}, {'type': 'PubMed', 'value': '2046108', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/2046108/'}]}
    2. Brennan TA, Hebert LE, Laird NM, et al. Hospital characteristics associated with adverse events and substandard care. JAMA, 1991;265:3265–9. - PubMed

Publication types