Optimal and Logical Quality

Many current quality assurance programs aim at maximizing the quality of health services instead of optimizing it, because they rest on the erroneous "best to all" approach, which overemphasizes the scientific and technical aspects of quality. The result is prohibitively expensive "Cadillac care." It is suggested that the optimal qualitative level can be identified by answering a chain of hierarchical questions beginning with the relevance of medical care to the solution of the problem at hand and ending with such detailed questions as what diagnostic procedures should be performed by whom, and with what technique. Using the functional definition of quality applied in industrial quality control, a mathematical model is developed to illustrate the relative nature of the concept of quality and its implications for quality assurance programs. Special attention is paid to logical quality, i.e., the efficacy with which information is used in arriving at decisions

Business · Control (management) · Economics · Epistemology · Health care · Management science · Operations research · Quality (philosophy) · Quality assurance · Relevance (law) · Risk analysis (engineering) · Service (business) · Artificial Intelligence · Clinical practice guidelines implementation · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Mathematics · Medicine · Patient Satisfaction in Healthcare

• Quality, Cost, and Health

  Avedis Donabedian, John R C Wheeler et al.•Medical Care•1982

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• A epidemiologia na avaliação da qualidade

  Open Access•Daphne Rattner•Cadernos de Saude Publica•1996

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• A rehabilitation of health outcome in quality assessment

  Open Access•D P Doessel, J V Marshall et al.•Social Science & Medicine•1985

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• Evaluating the Quality of Medical Care

  Open Access•Avedis Donabedian•Milbank Quarterly•2005

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• Problems of Measuring Patient Care in the Out-Patient Department

  Malcolm W Klein, Mary Fran Fran T Malone et al.•Journal of Health and Human…•1961

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• The Quality of Medical Care

  Henry B Makover•American Journal of Public Health…•1951

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• Priority Setting in Quality Assurance

  John Williamson, John W Williamson et al.•Medical Care•1978

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• Quality of Clinical Management of Disease in Comprehensive Neighborhood Health Centers

  Mildred A Morehead, Rose Donaldson•Medical Care•1974

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• Assuring Quality in Medical Care

  Richard Greene•Medical Care•1977

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• Evaluating Health Care

  Henrik L Blum•Medical Care•1974

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