Measuring Quality of Care at the End of Life
Donaldson, Molla S.
Field, Marilyn J.
Archives of Internal Medicine. 1998 Jan 26; 158(2): 121-128.
Caring for patients at the end of life presents a series of quality-of-care problems to the health care system. In the past, concern has focused on overaggressive treatment of dying patients. Given rapid changes in the financing and delivery of care, it is time to focus on a range of quality problems and address ways to improve care and achieve outcomes desired by patients and their families. We provide a framework for conceptualizing such a task. This article addresses the purposes of measurement, definition of the patient population, timing of measurement, use of surrogates in measurement, scope of services to be evaluated, and the choice of measures. It emphasizes the necessary links between quality measurement and quality improvement.
Accountability; Caring; Dying Patients; Evaluation; Family Members; Health; Health Care; Health Facilities; Health Services; Health Services Research; Hospices; Life; Palliative Care; Patient Satisfaction; Patients; Prolongation of Life; Quality of Health Care; Quality of Life; Quality Assurance; Regulation; Research; Standards; Terminal Care; Treatment Outcome;
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Measuring the Quality of Health Care: A Statement by the National Roundtable on Health Care Quality Donaldson, Molla S. (Institute of Medicine [IOM] (United States). Division of Health Care Services, 1999)