Finding Health-Related Quality of Life Outcomes Sensitive to Health-Care Organization and Delivery

OBJECTIVES: The author identifies and assesses health-related quality-of-life outcomes for evaluating health-care structure and process. METHODS: Development of a conceptual model and presentation of case studies are used to identify methods of outcomes research necessary to evaluate health-care organization and delivery. RESULTS: Generic measures already exist for assessing functional status and well-being outcomes of health care. Condition-specific measures are necessary to address directly the concerns of patients and providers of care and to detect small differences in organizational arrangements. Improved health outcomes are more likely to be observed from large-scale prospective trials and studies using large data sets, but few studies report improved self-reported health status as linked to organizational structure. CONCLUSIONS: Theoretically driven research is necessary to link healthcare systems and outcomes. Outcome measures exist, but measurement development is needed for organizational arrangements, managed care structure and process, and stakeholder exchanges

Business · Health care · Health care delivery · Health care quality · MEDLINE · Organizational structure · Outcome (game theory) · Political science · Process (computing) · Process management · Public relations · Quality (philosophy) · Quality of life (healthcare) · Scale (ratio) · Stakeholder · Computer Science · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology

• The challenge of validating SF-12 for its use with community-dwelling elderly in Israel

  Open Access•Netta Bentur, Yaron King•Quality of Life Research•2009

  Incluir item

• Electronic collection of health-related quality of life data

  Open Access•Brent D Bliven, Stanley E Kaufman et al.•Quality of Life Research•2001

  Incluir item

• Factors Associated With Perceived Worsened Physical Health Among Older Adults Who Are Newly Enrolled Long-term Services and Supports Recipients

  Open Access•Jasmine Travers, Karen B Hirschman et al.•INQUIRY The Journal of Health…•2020

  Incluir item

• Impact of Patient Socioeconomic Status on Physician Profiles

  Kevin Fiscella, Peter Franks•Medical Care•2001

  Incluir item

• Health-Related Quality of Life as an Outcome in Organizational Research

  Carolyn Murdaugh•Medical Care•1997

  Incluir item

• Framing the Problem of Measuring and Improving Healthcare Quality

  Pamela H Mitchell, Norma M Lang•Medical Care•2004

  Incluir item

• Changing Medical Organization and the Erosion of Trust

  David Mechanic•Milbank Quarterly•1996

  Incluir item

• Measuring Health-Related Quality of Life

  Open Access•Gordon H Guyatt, Gordon Guaytt et al.•Annals of Internal Medicine•1993

  Incluir item

• Evaluating the Quality of Medical Care

  Open Access•Avedis Donabedian•Milbank Quarterly•2005

  Incluir item

• Evaluating the Quality of Medical Care

  Avedis Donabedian•The Milbank Memorial Fund Quarterly•1966

  Incluir item

• Exchange and Power in Social Life

  Peter M Blau•Exchange And Power In Social Life•2017

  Incluir item

• Application of Health Status Assessment Measures in Policy Research

  Donald M Steinwachs•Medical Care•1989

  Incluir item

• Health-Related Quality of Life as an Outcome in Organizational Research

  Carolyn Murdaugh•Medical Care•1997

  Incluir item

• Social Exchange Theory

  Open Access•K S Cook, George Ritzer et al.•The Blackwell Encyclopedia of…•2020

  Incluir item

• Producing health, consuming health care

  Open Access•Robert G Evans, Gregory L Stoddart et al.•Social Science & Medicine•1990

  Incluir item

• Social Exchange Theory

  Richard M Emerson•Annual Review of Sociology•1976

  Incluir item