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Cited by 444

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Quality Health Outcomes Model

Mitchell, Pamela H., Ferketich, Sandra, Jennings, Bonnie M., American Academy of Nursing Expert Panel on Quality Health Care·1998·Image: the Journal of Nursing Scholarship
DOI 10.1111/j.1547-5069.1998.tb01234.x
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Abstract

Purpose: Donabedian's 1966 framework of structure, process, and outcome has guided three decades of study in the United States of the elements needed to evaluate and compare medical care quality. Donabedian's perspective was essentially linear, assuming that structures affect processes, which in turn affect outcomes. Patient characteristics are sometimes considered as mediating outcomes and clinical interventions are considered to be processes. A model is presented in the following article that relates multiple factors affecting quality of care to desired outcomes. It extends previous models by positing dynamic relationships with indicators that not only act upon, but reciprocally affect the various components. Scope and Sources: The proposed model was derived from a synthesis of the authors' experience in quality of care practice and research, as well as selected previous theories. Conclusions: The quality health outcomes model is sufficiently broad (a) to guide development of databases for quality improvement and outcomes management, (b) to suggest key variables in clinical intervention research, and (c) to provide a framework for outcomes research and outcomes management that compares not only treatment options, but organizational or system level interventions. The model also has several policy implications.

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Crossref · 10.1111/j.1547-5069.1998.tb01234.x

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Metadata

Authors
Mitchell, P. H., Ferketich, S., Jennings, B. M., & American Academy of Nursing Expert Panel on Quality Health Care
Venue
Image: the Journal of Nursing Scholarship
Publisher
Wiley
Published
1998-03
Volume
30
Issue
1
Pages
43-46
ISSN
  • 0363-2792 (ISSN-L)
  • 0743-5150
DOI
10.1111/j.1547-5069.1998.tb01234.x
OpenAlex
W2013841743
Cited by
444
References
16
FWCI
14.49
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Quality Health Outcomes Model. https://app.cochat.ai/papers/10.1111/j.1547-5069.1998.tb01234.x
The paper
Mitchell, P. H., Ferketich, S., Jennings, B. M., & American Academy of Nursing Expert Panel on Quality Health Care. (1998). Quality Health Outcomes Model. Image: the Journal of Nursing Scholarship. https://doi.org/10.1111/j.1547-5069.1998.tb01234.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.