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Twenty Years of Research on the Quality of Medical Care

dc.contributor.authorDonabedian, Avedisen_US
dc.date.accessioned2010-04-13T19:07:14Z
dc.date.available2010-04-13T19:07:14Z
dc.date.issued1985en_US
dc.identifier.citationDonabedian, Avedis (1985). "Twenty Years of Research on the Quality of Medical Care." Evaluation & the Health Professions 3(8): 243-265. <http://hdl.handle.net/2027.42/67073>en_US
dc.identifier.issn0163-2787en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/67073
dc.description.abstractSince 1964 we have built on earlier work, with some refinements, particularly in the formulation of explicit criteria of process and outcome; the detailed standardization of case mix when outcomes signify quality; the prespecification of outcomes for follow-up, when adverse outcomes are only the occasion for later assessment of process; a greater emphasis on more subtle organizational characteristics in the study of structure; and the identification of the separate effects of structural attributes by multivariate analysis. We have also paid more systematic attention to questions of measurement, including the veracity and completeness of the record; the procedures of criteria formulation; and the reliability, validity, and screening efficiency of the criteria. A notable advance is the use of decision analysis to identify optimal strategies of care, including the introduction of patient preferences and monetary cost in the specification of such strategies, and the use of decisional algorithms to portray the criteria of quality.en_US
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dc.format.extent2085436 bytes
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dc.publisherSAGE PUBLICATIONS, INC.en_US
dc.titleTwenty Years of Research on the Quality of Medical Careen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumSchool of Public Health, University of Michiganen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/67073/2/10.1177_016327878500800301.pdf
dc.identifier.doi10.1177/016327878500800301en_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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