Get An Introduction to Quality Assurance in Health Care PDF

By Avedis Donabedian

ISBN-10: 0195158091

ISBN-13: 9780195158090

Avedis Donabedian's identify is synonymous with caliber of remedy. He unraveled the secret in the back of the concept that via defining it in transparent operational phrases and supplied specified blueprints for either its measurement(known as caliber review) and its improvement(known as caliber assurance). Many earlier than him claimed that caliber could not be outlined in concrete target phrases. He established that caliber is an attribte of a process which he referred to as structure, a collection of prepared actions whihc he referred to as process, and an consequence which ends up from either. during this publication Donabedian tells the entire tale of caliber review and insurance in easy, transparent phrases. He defines the that means of caliber, explicates its parts, and offers transparent and systematic courses to its review and enhancement. His kind is lucid, succinct, systematic and but own, virtually conversational.

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Additional resources for An Introduction to Quality Assurance in Health Care

Sample text

4 Optimality Optimality is the balancing of improvements in health against the cost of such improvements. This definition implies that there is a "best" or "optimum" relationship between costs and benefits of health care, a point below which more benefits could be obtained at costs that are low relative to benefits, and above which additional benefits are obtained at costs too large relative to corresponding benefits. 3 will help illustrate this somewhat abstract concept. To generate the figure it is necessary to engage in a "mental experiment": an experiment rather difficult to duplicate in actual practice, but nonetheless one from which emerges a fundamental principle very relevant to medical practice and social policy.

First, as I have already shown, if optimality is chosen as the standard of quality, any expenditures beyond those required to achieve the optimum can be regarded as wasteful. In other words, beyond the optimum, quality can be considered to be lower rather than higher. Second, if maximally effective care is taken as the standard of quality, expenditures below that point are justified. Only expenditures beyond that point are considered wasteful. And if they result in harm, care is not only wasteful but also of lower quality.

This definition implies that there is a "best" or "optimum" relationship between costs and benefits of health care, a point below which more benefits could be obtained at costs that are low relative to benefits, and above which additional benefits are obtained at costs too large relative to corresponding benefits. 3 will help illustrate this somewhat abstract concept. To generate the figure it is necessary to engage in a "mental experiment": an experiment rather difficult to duplicate in actual practice, but nonetheless one from which emerges a fundamental principle very relevant to medical practice and social policy.

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An Introduction to Quality Assurance in Health Care by Avedis Donabedian


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