The Quality of Care
Abstract
Before assessment can begin we must decide how quality is to be defined and that depends on whether one assesses only the performance of practitioners or also the contributions of patients and of the health care system; on how broadly health and responsibility for health are defined; on whether the maximally effective or optimally effective care is sought; and on whether individual or social preferences define the optimum. We also need detailed information about the causal linkages among the structural attributes of the settings in which care occurs, the processes of care, and the outcomes of care. Specifying the components or outcomes of care to be sampled, formulating the appropriate criteria and standards, and obtaining the necessary information are the steps that follow. Though we know much about assessing quality, much remains to be known.
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- Authors
- Donabedian, A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Donabedian, Avedis
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1988-09-23
- Volume
- 260
- Issue
- 12
- Pages
- 1743
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1970926607
- Cited by
- 5,895
- References
- 28
- Citations by year
- 2026: 89 · 2025: 82 · 2024: 224 · 2023: 349 · 2022: 216 · 2021: 331 · 2020: 369 · 2019: 355 · 2018: 309 · 2017: 347 · 2016: 309 · 2015: 324 · 2014: 297 · 2013: 250 · 2012: 222
- FWCI
- 62.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- quality of care, quality assessment, definition of quality, patient contribution, health care system, health outcomes, process of care, quality standards
- MeSH terms
- Community Health Services, Delivery of Health Care, Medical Records, Outcome and Process Assessment, Health Care, Patient Participation, Physician-Patient Relations, Quality of Health Care
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