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Patient-centered Care Measures for the National Health Care Quality Report (Defining Patient-centered Care)

By Christina Bethell Phd

Abstract

This paper outlines a rationale and methods for incorporating measures of patient centered care in the National Health Care Quality Report as a complement to those in other categories of importance – patient safety, effectiveness, promptness and efficiency. To the extent that patient centered care quality measures are stratified for or tailored to specific populations, they are also useful for understanding the equity of health care in America across different ethnic, racial, socioeconomic and demographic groups. As requested by the Committee, the FACCT Consumer Information Framework (CIF) is used as an organizing structure for identifying measures across consumer relevant quality domains. The CIF includes four components: (1) consumer messages about the quality of health care (2) a multidimensional model for identifying and communicating quality information 1 (3) a set of specific measurement topics to consider within each domain, for different population groups and types of health care systems and (4) a set of quantitative and qualitative methods for scoring and communicating quality information to the public. (Bethell 1997, OPM 1999) The model for identifying and communicating quality information sets forth five quality domains: The Basics Measures regarding basic aspects of health care quality that are universally relevant such as access to care, communication with providers and customer service. Staying Healthy Clinical and patient/caregiver based measures regarding helping people avoid illness and stay healthy through preventive care, reduction of health risks, early detection of illness and education. Getting Better Clinical and patient/caregiver based measures regarding helping people recover when they are sick or injured through appropriate and error-free treatment and follow up. 1 Dimension are (a) measurement domain (e.g. Getting Better); (b) type of measure (e.g. appropriate care, patient experience); (c

Year: 2000
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