¶ … Health Care Advanced
Quality of Medical Care Defined and Other Dimensions of Quality Care and Their Importance
Quality is reported to be defined by the Institute of Medicine as:
"The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." (Feld, 2003, p.1)
The elements of quality care are stated to be those as follows:
(1) Recognition of patients at risk for diseases;
(2) Conduction of appropriate evaluation;
(3) Making the appropriate diagnosis;
(4) Starting the appropriate treatment;
(5) Scheduling the appropriate follow-up; and (6) Stimulating the appropriate compliance/adherence to treatment. (Feld, 2003, p.1)
The goals of quality care are decrease of the "complication rate, morbidity, mortality, and cost of care." (Feld, 2003, p.1) Changes since the days when the doctor knew best include a more informed population who are more highly educated and who possess more knowledge about their own healthcare regimen. The work of Steffen (2009) defines quality by stating that it is "not as consisting of the properties of an object but rather as the capacity of these properties to achieve goals. Accordingly, quality medical care is the capacity of the elements of that care to achieve legitimate medical and nonmedical goals." (p.1) Patient values are reported to be such that serve to shape the goals and since these values are many times non-assessed and unrecorded. It is reported that recommendations request, "A formal assessment of patient values [as those...
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