 |
|
Monitoring Quality of Care in the Medicare ProgramTwo Proposed Systems
Robert H. Brook, MD, ScD;
Kathleen N. Lohr, PhD
JAMA. 1987;258(21):3138-3141.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
|
|
|
TWENTY years ago, when much of the methods work in quality assessment began,1 an age of optimism about the provision of health services in the nation appeared to have dawned. Resources seemed unlimited, and legislation to increase access to services for the underserved was at last being enacted. Measures of quality and health status were seen as crucial aids in knowing where to put additional funds to make Americans as healthy as possible, and it was believed that more resources would be available to develop the best possible methods for assessing quality and health status.
As we now know, events did not unfold as had been so expansively expected. Even as access to care improved, costs of health care escalated beyond all imagined levels. In this environment, the field of quality assessment did not flourish as its proponents had hoped. Apparently unlimited resources and rapid technologic changes were, perhaps,
. . . [Full Text PDF of this Article]
Author Affiliations
From The RAND Corp, Santa Monica, Calif (Dr Brook), the UCLA Center for the Health Sciences (Dr Brook), and the Institute of Medicine, National Academy of Sciences, Washington, DC (Dr Lohr).
Footnotes
The opinions, conclusions, and proposals in the text are those of the authors and do not necessarily represent the views of the Department of Health and Human Services, The RAND Corp, or the National Academy of Sciences.
Reprint requests to The RAND Corp, 1700 Main St, Santa Monica, CA 90406-2138 (Dr Brook).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
