tailieunhanh - Mechanisms for assuring quality of US. medical care service-past, Present, and future

Reviews public- and private-sector programs for assessing and assuring the quality of medical care services, and analyzes their potential particular, the report examines Professional Standards Review Organizations, the Performance Evaluation Procedures (PEP) used by the Joint Commission on Accreditation of Hospitals, the programs devised by prepaid group practice systems establish | MECHANISMS FOR ASSURING QUALITY OF . MEDICAL CARE SERVICES past present and future PREPARED UNDER A GRANT FROM THE DEPARTMENT OF HEALTH EDUCATION AND WELFARE ROBERT H. BROOK ALLYSON DAVIES-AVERY R-1939-HEW AUGUST 1977 Rand SANTA MONICA The research reported herein was performed pursuant to the Health Insurance Study grant from the . Department of Health Education and Welfare Washington . The opinions and conclusions expressed herein are solely those of the authors and should not be construed as representing the opinions or policy of any agency of the United States Government. Published by The Rand Corporation Ill PREFACE A significant feature of the experimental portion of the Rand Health Insurance Study will be an assessment of the quality of health care delivered to study participants. This report reviews the variety of approaches to quality assessment and assurance taken by the private and public sectors. It describes ongoing quality assurance programs and analyzes their potential for improving the quality of medical care and thereby the health of the American people. Equally Important from a research perspective the report Identifies and discusses problems that require additional research with the aim of refining current methods of quality assessment and developing new ones. The report was prepared with support from the Rand Health Insurance Study grant 016B-7501-P2021 from the Department of Health Education and Welfare. An earlier and substantially different version of this report entitled Quality Assurance Mechanisms in the United States From There to Where appeared as a chapter in A Question of Quality Roads to Assurance in Medical Care edited by Gordon McLachlan and published for the Nuffield Provincial Hospitals Trust by the Oxford University Press In .