Health care quality - Incorporating consumer perspectives
Health care quality - Incorporating consumer perspectives
复制标题
DOI：
10.1001/jama.278.19.1608
复制
发表时间：
1997-11-19
影响因子：
120.7
通讯作者：
EdgmanLevitan, S
中科院分区：
文献类型：
--
作者：
Cleary, PD;EdgmanLevitan, S
本文的目标是从医疗保健系统用户（消费者）的角度解决以下问题：最重要的医疗保健质量差距和/或挑战是什么;我们应该预见到该领域在不久的将来会发生哪些重大变化;以及联邦和州机构、认证组织和慈善基金会在应对这些挑战方面应该发挥什么作用？我们讨论的需求，挑战和潜在的行动步骤，以增加突出的用户的角度在3个领域：（1）质量的概念化和定义;（2）质量的测量;（3）常规的质量评估和改进。文章最后就不同机构和组织在应对这些挑战方面可以和应该发挥的作用提出了建议。
The goal of this article is to address, from the perspective of users of the health care system (consumers), the following questions: What are the most important health care quality gaps and/or challenges; what major changes should we anticipate in this area in the near future; and what should be the role of federal and state agencies, accreditation organizations, and philanthropic foundations in addressing these challenges? We discuss the needs, challenges, and potential action steps for increasing the prominence of the user's perspective in 3 areas: (1) the conceptualization and definition of quality; (2) the measurement of quality; and (3) routine quality assessment and improvement. The article concludes by making recommendations about the role that different agencies and organizations can and should play in meeting these challenges.