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Assessing Quality and Utilization Patterns in Health Care Delivery Systems
Arch Ophthalmol. 1998;116:234-235.
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MEDICINE IS an uncertain art. With current literature ranging from Wennberg's1 pioneering work on large variations in rates of procedures in different geographic areas to the work of Chassin and associates2 on inappropriate surgical procedures, it is accepted that care and utilization patterns vary tremendously. While millions of Americans lack access to adequate care, others receive unnecessary or inappropriate care. The explosion of for-profit, prepaid health care (managed care) systems has exacerbated the situation and generated concerns about the quality of care provided. Indeed, there are more questions and issues about managed care and how delivery systems provide care than there are answers.3
MONEY AND TRUST: TODAY'S CHALLENGE
If it can be proven that a service would be of clear benefit to the patient, it should be provided; failure to do so constitutes underuse of services. Services proven to be of no benefit or of harm to the patient(inappropriate services) should not be performed, regardless . . . [Full Text of this Article]
ADDRESSING THE CHALLENGE
MEASUREMENTS OF CURRENT UTILIZATION AND QUALITY DATA ACROSS SYSTEMS OF CARE
APPLYING THE PRINCIPLES: CHARACTERISTICS OF A QUALITY MEASUREMENT SYSTEM
FUTURE IMPLICATIONS
Paul Lee, MD
Duke Eye Center
Durham, NC
RELATED ARTICLE
Identifying the Content Area for the 51-Item National Eye Institute Visual Function Questionnaire: Results From Focus Groups With Visually Impaired Persons
Carol M. Mangione, Sandra Berry, Karen Spritzer, Nancy K. Janz, Ronald Klein, Cynthia Owsley, and Paul P. Lee
Arch Ophthalmol. 1998;116(2):227-233.
ABSTRACT
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