Efforts to reform healthcare systems around the globe are proliferating rapidly. No country is immune from the two fundamental pressures that are driving change: cost and access. Every system is experimenting with measures designed to contain costs while simultaneously trying to determine how best to resolve the question of who should be eligible for what services under what conditions.In the midst of these experiments, serious concerns about quality are being raised. Are efforts to contain costs leading to practices which have a detrimental impact on quality? What, in fact, is “quality” in the world of healthcare? How should it be measured? And how can it be improved? These questions are on the cutting edge of debates about the management of healthcare in the future.This book examines these questions in detail by combining chapters outlining the basic issues with others describing state-of-the-art efforts to measure and manage quality more effectively. The result is an up-to-date compendium of issues and experiences presented by leading researchers and practitioners which should be of interest to healthcare managers and policy makers as well as to students and researchers in the field.
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"This book makes a timely and very important contribution to our understanding of how to measure and manage the quality of health care ... It will be of interest to a wide range of audiences, including health care providers, managers, and researchers." Professor Thomas D'Aunno University of Chicago "The book gives reason to hope by showing how, in the US and in France, it is possible to move good ideas into practice. The authors show how to take into account simultaneously the various dimensions of quality of care, dimensions which are as often different as they are complementary ... This insight alone justifies investment in this volume." Professor Jean de Kervasdoue Chair in Health Economics and Management Conservatorie Nationale des Arts et Metiers "The editors, who are themselves the authors of several key integrative and contextual chapters, have done a masterful job of selecting some of the very best observers of the health care quality scene in both countries, and health services researchers, health care management experts, and health policy analysts will find the book exceedingly valuable." Stephen S Mick Professor of Health Administration Virginia Commonwealth University
Efforts to reform healthcare systems around the globe are proliferating rapidly. No country is immune from the two fundamental pressures that are driving change: cost and access. Every system is experimenting with measures designed to contain costs while simultaneously trying to determine how best to resolve the question of who should be eligible for what services under what conditions.In the midst of these experiments, serious concerns about quality are being raised. Are efforts to contain costs leading to practices which have a detrimental impact on quality? What, in fact, is "quality" in the world of healthcare? How should it be measured? And how can it be improved? These questions are on the cutting edge of debates about the management of healthcare in the future.This book examines these questions in detail by combining chapters outlining the basic issues with others describing state-of-the-art efforts to measure and manage quality more effectively. The result is an up-to-date compendium of issues and experiences presented by leading researchers and practitioners which should be of interest to healthcare managers and policy makers as well as to students and researchers in the field.
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