Document Detail


Quality medical care. A definition.
MedLine Citation:
PMID:  3379723     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article offers a definition of quality medical care. Quality itself is defined 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. This definition is compared with other current definitions. I offer answers to the questions of how to choose goals, who chooses goals, and what are legitimate goals. Implications of this definition are discussed, particularly with reference to chart review. Because patient values shape goals and because these values are not always assessed and recorded, it is recommended that a formal assessment of patient values become part of the patient's record.
The definition of quality medical care as the capacity of the elements of that care to achieve legitimate medical and nonmedical goals is compared with other current definitions. The difficulty of choosing goals is reflected in the contrast between the technical and the interpersonal aspects of care; doctor and patient should work together to achieve "legitimate" goals which integrate scientific knowledge and personal beliefs. Because this definition will affect chart review, a formal assessment of patient values must become part of the patient's record.
Authors:
G E Steffen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  260     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-07-15     Completed Date:  1988-07-15     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  56-61     Citation Subset:  AIM; E; IM    
Affiliation:
Department of Philosophy, University of Colorado, Boulder.
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MeSH Terms
Descriptor/Qualifier:
Communication
Consumer Satisfaction*
Medical Records
Outcome and Process Assessment (Health Care)
Patient Participation
Peer Review / methods
Personal Autonomy
Quality of Health Care*
Risk Assessment
Social Values*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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