Quality care and practise variation: The roles of practise guidelines and public profiles

被引:11
作者
Margo, CE [1 ]
机构
[1] LLP, Watson Clin, Dept Ophthalmol, Lakeland, FL 33805 USA
关键词
physician profiling; practice guidelines; public health; quality of care;
D O I
10.1016/j.survophthal.2004.02.010
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Goals of the quality-of-care initiative are to improve the structure, process, and outcome of health care. The effectiveness of methods to improve quality have been largely unverified. Most methods are costly to implement and time-consuming to perform; some threaten professional autonomy. The characteristic feature of modern medicine that fuels the debate over quality is the variation in the delivery of health care. This review examines the "variation phenomenon" in medicine and the roles that practice guidelines and physician profiling have in improving health care, in general, and for adult cataract, in particular.
引用
收藏
页码:359 / 371
页数:13
相关论文
共 168 条
[52]   Rolling down the runway - The challenges ahead for quality report cards [J].
Epstein, AM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (21) :1691-1696
[53]   WOULD ELIMINATING DIFFERENCES IN PHYSICIAN PRACTICE STYLE REDUCE GEOGRAPHIC VARIATIONS IN CATARACT-SURGERY RATES [J].
ESCARCE, JJ .
MEDICAL CARE, 1993, 31 (12) :1106-1118
[54]   Clinicians' attitudes to clinical practice guidelines: a systematic review [J].
Farquhar, CM ;
Kofa, EW ;
Slutsky, JR .
MEDICAL JOURNAL OF AUSTRALIA, 2002, 177 (09) :502-506
[55]   THE EFFECTIVENESS INITIATIVE .2. THE SPECTRUM OF EFFECTIVENESS RESEARCH [J].
FENDRICK, AM ;
GOODMAN, CS ;
TROBE, JD .
ARCHIVES OF OPHTHALMOLOGY, 1995, 113 (07) :862-865
[56]  
Field MJ, 1992, CIRCULATION, DOI 10.17226/1863
[57]   Practice parameters: background and usefulness [J].
Fineman, SM .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2001, 86 (01) :5-10
[58]   HOSPITAL READMISSION RATES FOR COHORTS OF MEDICARE BENEFICIARIES IN BOSTON AND NEW-HAVEN [J].
FISHER, ES ;
WENNBERG, JE ;
STUKEL, TA ;
SHARP, SM .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (15) :989-995
[59]   Pediatricians' attitudes, beliefs, and practices regarding clinical practice guidelines: A national survey [J].
Flores, G ;
Lee, M ;
Bauchner, H ;
Kastner, B .
PEDIATRICS, 2000, 105 (03) :496-501
[60]   DHHS CATARACT GUIDELINES RELEASED [J].
FOREMAN, J .
ARCHIVES OF OPHTHALMOLOGY, 1993, 111 (05) :591-591