Relevant bibliographies by topics / Evaluation and quality control of medical care

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  2. Dissertations / Theses
  3. Books
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Academic literature on the topic 'Evaluation and quality control of medical care'

Author: Grafiati
Published: 4 June 2021
Last updated: 2 February 2022

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Journal articles on the topic "Evaluation and quality control of medical care"

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Yeremin, G., Е. Тregubova, and Е. Mokhova. "Regulation of Safety and Quality of Osteopathic Healthcare." Russian Osteopathic Journal, no. 1-2 (June 30, 2016): 6–13. http://dx.doi.org/10.32885/2220-0975-2016-1-2-6-13.

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The article presents an analysis of the regulating system, an experience of the expert evaluation and control of the quality and safety of the medical care in the Russian Federation and in its constituent units. The paper considers aims, targets, ways and criteria of the expert evaluation and control of the quality and safety of the medical care with regard to the osteopathic medical care. Authors also give recommendations concerning the organization of the internal control system of safety and quality of the medical care provided by the osteopaths.
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Polyakov, Konstantin V., N. M. Gayfullin, Zh A. Akopyan, and P. G. Mal'kov. "THE LEGISLATIVE FOUNDATION OF EXPERTISE OF MEDICAL CARE QUALITY ACCORDING CASES OF LETHAL OUTCOMES." Health Care of the Russian Federation 62, no. 2 (May 24, 2019): 95–102. http://dx.doi.org/10.18821/0044-197x-2018-62-2-95-102.

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The article presents analysis of national and foreign legislative documents concerning issues of expertise of quality of medical care according cases of lethal outcomes (Universal Declaration of Human Rights, the Constitution of the Russian Federation, ICD-10, Federal laws and sectoral orders). It is established that key elements of system of medical care quality control (levels of control, authorized authority, forms of control, sources of development of criteria of quality evaluation, criteria of quality evaluation) are determined legislatively and reflect main requirements of international documents. The criteria of medical care quality evaluation are developed by groups of diseases of conditions on the basis of corresponding of medical care support Procedures, medical care Standards, Rules of implementation of laboratory, instrumental, pathologico-anatomic and other forms diagnostic analysis and Clinical Recommendations (records of treatment) related to issues of medical care support. The shortcoming of the Russian Federation legislation is an inadequate reflection of sources of development of criteria of medical care quality evaluation and relevant incompleteness of the very criteria of medical care quality evaluation. Therefore, their application by experts to issues of evaluation of medical care quality is complicated that effects formation of expert conclusion and negatively affects detection and prevention of possible violations during medical care support. The outdated normative regulation of clinical pathologic anatomic conference is noted as an important form of control of medical care support according cases of lethal outcomes. The necessity of alterations and additions in particular currently in force documents concerning issues of expertise of medical care quality, including according cases of lethal outcomes.
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Guseva, Nataliya K., and V. A. Berdutin. "Certain issues of evaluation of medical care quality in the health care system of the Russian Federation." Health Care of the Russian Federation 60, no. 5 (May 24, 2019): 228–33. http://dx.doi.org/10.18821/0044-197x-2016-60-5-228-233.

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The recent years characterized by development of normative legal base controlling issues of evaluation of quality of medical care. The legally reserved such types (levels) of quality and safety control of medical care as state, sectorial, internal, independent evaluation of medical care quality and others. The development of modern system of evaluation of quality and safety of medical activities occurred on the basis of accumulated experience offunctioning of medical organizations in this direction. The analysis of actual system of evaluation of medical care quality in Russia established that system itself is bulky, includes various and non-interrelated criteria and indices and provides no clear concept about implementation of internal control of medical care quality. All this evoke many questions in physicians of medical organizations. The major defect of actual system is absence of criterion characterizing system of medical care quality support. no attention is paid to such issues as evaluation of structure supposing establishment of potential opportunities of medical subject (organization or medical officer) to provide medical care corresponding to its functions. The demonstrative example of necessity of structural approach in analysis of medical care quality is total normalization of psychological climate, increasing professional and communicative effectiveness of medical personal within departments of medical organization after their reformatting on the basis of the results of socionic evaluation.
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Yerdavletova, Farida, and Temirkhan Mukhambetov. "Quality of medical services: problems, evaluation and regulation." Verslas: Teorija ir Praktika 16, no. 3 (October 1, 2015): 243–51. http://dx.doi.org/10.3846/btp.2015.487.

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One of the most acute problems in the healthcare industry – the problem of the quality of medical services. In this area, there is no established definition of medical services or approaches to quality management. The aim of the article is to analyze the existing definitions of “quality of medical services,” as well as development approach to managing medical organization. At the same time the management of the medical organization should be focused on ensuring the quality as the most important criterion for the organization. Methodology of the study is based on analysis and grouping of existing definitions of medical services, the factorial approach to evaluating the quality and organization of the process approach to management of the medical organization. Noting the versatility and diversity concepts of quality of care the authors suggest grouping of direct and indirect factors affecting the quality of medical services. However, it is important, according to the authors, to move from functional management to management based on the process approach, which provides better control over the processes of customer service. Is given process model of quality management of health services and highlights the main groups of processes in the medical organization.
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Lara-Esqueda, Agustin, Sergio A. Zaizar-Fregoso, Violeta M. Madrigal-Perez, Mario Ramirez-Flores, Daniel A. Montes-Galindo, Margarita L. Martinez-Fierro, Iram P. Rodriguez-Sanchez, et al. "Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study." Journal of Diabetes Research 2021 (August 14, 2021): 1–7. http://dx.doi.org/10.1155/2021/7365075.

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Introduction. The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods. 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical record database. Each patient record was compared against the standard to test the quality of medical care. Results. Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination. Specialty referrals reached 1% in angiology or cardiology. Conclusion. Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards.
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Василькина, O. Vasilkina, Шукшин, V. Shukshin, Смирнова, O. Smirnova, Блинов, Dmitry Blinov, Качаева, and Yu Kachaeva. "The analysis of patient’s care quality in hospitals." Journal of New Medical Technologies. eJournal 9, no. 1 (April 17, 2015): 0. http://dx.doi.org/10.12737/8112.

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Based on the developed expert case record for evaluating quality and practices of medical care the most significant and common defects in medical service are identified in the paper. They include incomplete anamnesis on admission (48%), insufficient physical examination (25%), lack of staged diagnosis (16%), ab-sence of correction in the dynamics of therapeutic actions (11%), partial description of patient’s condition in journals and examination data (32%). However implementation of full and timely laboratory and instrumental examinations (93%), as well as timeliness of diagnosing in 85% of cases are revealed. The program of therapeu-tic measures was chosen rationally (79%). Effectiveness and high results of medical service were achieved in 78% of cases. Advices for the rehabilitation of a patient in accordance with diagnosis and assistance rendered were given professionally and in full volume (93%). The use of a formalized approach and a mathematic model, conversion of the function of quantitative assessment of quality from 0 to 1 to the usual five-point system of evaluation of expert activity results make it possible to level difficulties in perception of ranking and simplify understanding of the assessment criteria. Detection of defects in time, reduction of the number of errors in the process of quality control, intensification of diagnostic and therapeutic measures, as well as of diagnosing should serve as a basis for optimizing medical and organizational technologies to render medical care to patients.
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Shikina, Irina, and David Davidov. "Assessment of the quality of medical care provided to patients in a psychiatric hospital." Vestnik of Saint Petersburg University. Medicine 15, no. 4 (2020): 274–82. http://dx.doi.org/10.21638/spbu11.2020.405.

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Monitoring and evaluation of the quality of medical care provided to patients is essential in any medical specialty, but especially in relation to specialized care in mental health hospitals. The aim of our work is to assess the quality of specialized medical care provided to patients in the psychiatric hospital. We have examined 270 medical records and internal quality control cards of patients hospitalized from 2015 to 2019 in the Psychiatric Clinical Hospital No. 4 of the Moscow Healthcare Department (hereinafter referred to as “PCH No. 4” of MHD). The quality control of the provided medical care was carried out twice with the assessment of each studied section in the range from 0 to 1 point. Thus, it was possible to calculate the overall medical care quality coefficient with a description of the defects found in the provision of medical services. After the first control, quality coefficient appeared to be 0.86 (0.79; 0.91), and after the second one 0.95 (0.92; 0.96). During the second control, which was conducted in 2019, the medical care quality was significantly higher (p = 0.011) compared to the results of 2015–2018. The total share of detected defects in the medical-diagnostic process in a psychiatric hospital was 40.7 % (and was captured in 110 out of 270 cases). The results of our study demonstrate the necessity of medical care internal quality monitoring in a psychiatric hospital, since it contributes not only to the improvement of overall quality of medical treatment, but also to timely detection and reduction of the number of defects in the medical-diagnostic process.
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Jaber, Linda A., Henry Halapy, Mireille Fernet, Suresh Tummalapalli, and Hariharan Diwakaran. "Evaluation of a Pharmaceutical Care Model on Diabetes Management." Annals of Pharmacotherapy 30, no. 3 (March 1996): 238–43. http://dx.doi.org/10.1177/106002809603000305.

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OBJECTIVE: To assess the effectiveness of a pharmaceutical care model on the management of non-insulin-dependent diabetes mellitus (NIDDM) in urban African-American patients. DESIGN: Eligible patients were randomized to either a pharmacist intervention or control group and followed over a 4-month period. Patients in the intervention group received diabetes education, medication counseling, instructions on dietary regulation, exercise, and home blood glucose monitoring, and evaluation and adjustment of their hypoglycemic regimen. Patients in the control group continued to receive standard medical care provided by their physicians. SETTING: A university-affiliated internal medicine outpatient clinic. PARTICIPANTS: The study population consisted of urban African-American patients with NIDDM currently attending the clinic. MAIN OUTCOME MEASURES: Primary outcome measures included fasting plasma glucose and glycated hemoglobin concentrations. Secondary outcome endpoints included blood pressure, serum creatinine, creatinine clearance, microalbumin to creatinine ratio, total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein concentrations. Quality-of-life assessments were performed in both groups at baseline and at the end of the study. RESULTS: Thirty-nine patients (17 intervention, 22 control) completed the study. The intervention group consisted of 12 women and 5 men with a mean ± SD age of 59 ± 12 years, total body weight (TBW) of 93 ± 22 kg, body mass index (BMI) of 34 ± 7 kg/m2, and duration of NIDDM 6.8 ± 6.5 years. The control group consisted of 15 women and 7 men with a mean age of 65 ± 12 years, TBW of 88 ± 19 kg, BMI of 33 ± 7 kg/m2, and a duration of NIDDM of 6.2 ± 4.8 y. Significant improvement in glycated hemoglobin (p = 0.003) and fasting plasma glucose (p = 0.015) was achieved in the intervention group. No change in glycemia was observed in the control subjects. Statistically significant differences in the final glycated hemoglobin (p = 0.003) and fasting plasma glucose (p = 0.022) concentrations were noted between groups. No significant changes in blood pressure control, lipid profile, renal function parameters, weight, or quality-of-life measures were noted within or between groups. CONCLUSIONS: Our data demonstrate the effectiveness of pharmaceutical care in the reduction of hyperglycemia associated with NIDDM in a group of urban African-American patients.
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Crede, William B., and Walter J. Hierholzer. "Surveillance for Quality Assessment III. The Critical Assessment of Quality Indicators." Infection Control & Hospital Epidemiology 11, no. 4 (April 1990): 197–201. http://dx.doi.org/10.1017/s0195941700017963.

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The first two articles in this series reviewed the reasons for widespread acceptance of surveillence and control methods in hospital infection control programs, and discussed important factors contributing to the successes and failures in applying this approach to noninfectious nosocomial events. The quality assurance program ‘targets of surveillence” identified in these articles are referred to as “quality indicators” by other authors and have been defined as “a quantitative measure that can be used as a guide to monitor and evaluate the quality of important patient care and support service activities.” This article highlights those attributes of quality indicators that should be critiqued prior to implementation in a patient care review environment and discusses methods of improving quality indicator performance with ongoing monitoring and evaluation.
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Jøldal, Bjørn. "The Evaluation and Control of Drugs in Norway." International Journal of Technology Assessment in Health Care 2, no. 4 (October 1986): 663–71. http://dx.doi.org/10.1017/s0266462300003500.

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The basic aim of a drug policy is to ensure that effective and safe drugs of good quality are available to cover the health needs of a country. A national drug policy should be considered an integral part of any comprehensive health-care policy. The formulation of national drug policies varies even between similar countries because of conflicting interests and different political, economic, and social pressures. It is influenced by such factors as:the health situation of the country;the medical care system;the education and training of health personnel;the social security and health-insurance schemes;drug research and development possibilities;the domestic production of drugs;the determination of the demand for drugs;the system of drug distribution;the possibilities for evaluation and control of drugs; andinternational policies on medicinal products.
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Dissertations / Theses on the topic "Evaluation and quality control of medical care"

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Brindley, David. "Optimising the quality and effectiveness of risk : benefit appraisal methodologies utilised in randomised control trials." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:3a3f837c-1180-4609-80e5-c9d3d6ee1844.

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Al-Awa, Bahjat. "Impact of hospital accreditation on patients' safety and quality indicators." Doctoral thesis, Universite Libre de Bruxelles, 2011. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209917.

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Ecole de Santé Publique

Université Libre de Bruxelles

Academic Year 2010-2011

Al-Awa, Bahjat

Impact of Hospital Accreditation on Patients' Safety and Quality Indicators

Dissertation Summary

I.\
Doctorat en Sciences
info:eu-repo/semantics/nonPublished

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Eckermann, Simon Economics Australian School of Business UNSW. "Hospital performance including quality: creating economic incentives consistent with evidence-based medicine." Awarded by:University of New South Wales. School of Economics, 2004. http://handle.unsw.edu.au/1959.4/22011.

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This thesis addresses questions of how to incorporate quality of care, represented by disutility-bearing effects such as mortality, morbidity and re-admission, in measuring relative performance of public hospitals. Currently, case-mix funding and performance, measured with costs per case-mix adjusted separation, hold hospitals accountable for costs, but not effects, of care, creating economic incentives for quality of care minimising cost per admission. To allow an appropriate trade-off between the value and cost of quality of care a correspondence is demonstrated between maximising net benefit and minimising costs plus decision makers??? value of disutility events, where effects of care can be represented by disutility events and hospitals face a common comparator. Applying this correspondence to performance measurement, frontier methods specifying disutility events as inputs are illustrated to have distinct advantages over output specifications, allowing estimation of: 1. economic efficiency conditional on the value of avoiding disutility events. 2. technical, scale and congestion sources of net benefit efficiency; 3. best practice peers over potential decision makers??? value of quality; and 4. industry shadow price of avoiding disutility events. The accountability this performance measurement framework provides for effects and cost of quality of care are also illustrated as the basis for moving from case-mix funding towards a funding mechanism based on maximising net benefit. Links to evidence-based medicine in health technology assessment are emphasised in illustrating application of the correspondence to comparison of multiple strategies in the cost-disutility plane, where radial properties as shown to provide distinct advantages over comparison in the cost-effectiveness plane. The identified performance measurement and funding framework allows policy makers to create economic incentives consistent with evidence-based medicine in practice, while avoiding incentives for cream-skimming and cost-shifting. The linear nature of the net benefit correspondence theorem allows simple inclusion of multiple effects of quality, whether expressed as not meeting a standard, functional limitation or disutility directly. In applying the net benefit correspondence theorem to hospitals a clinical activity level is suggested, to allow correspondence conditions to be robustly satisfied in identification of effects with decision analytic methods, adjustment for within DRG risk factors and data linkage to effects beyond separation.
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Mpuntsha, Loyiso F. "Continuing professional development in medicine : the inherent values of the system for quality assurance in health care." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52173.

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Thesis (MPhil)--Stellenbosch University, 2001.
ENGLISH ABSTRACT: The practice of medicine has always been a big area of interest as a profession. The focus ranges depending on issues at hand - it may be on the educational, training, humanistic, economic, professional ethics and legal aspects. One area of medicine that is under the spotlight around the world is that of the maintenance of clinical competency, followed very closely and almost linked to professional ethics. This study follows the introduction of a system of Continuing Professional Development (hereinafter also referred to as CPD), in South Africa and an overview of how it has been introduced in a few other countries. The main areas of focus being the extrication of inherent values of CPD, relating this aspect to quality improvement in medical health care. The medical profession as well as most of the interested parties, has different perspectives regarding the fact that the system is regulated through legislation. There is also the doubt whether the CPD system will be effective in achieving the goals that it has been set to achieve. Although a system of Continuing Medical Education has been a tradition in all countries, which implies that the CPD system is not totally new as far as the educational principles are concerned, the values accruable need to be exploited. It is the possible success of this kind of evaluations that may foster more understanding of the inherent values in this CPD system.
AFRIKAANSE OPSOMMING: Beroepsgewys het die praktyk van geneeskunde nog altyd groot belangstelling gelok. Die fokus verskuif na gelang van die onderwerpe ter sprake. Dit wissel van opvoedkunde, opleiding, humanisme, ekonomie, en professionele etiek tot regsaspekte. Dwarsoor die wêreld word daar gefokus op die handhawing van kliniese vaardighede, gevolg deur professionele etiek wat ook daarin verweef is. Hierdie studie bespreek die instelling van 'n stelsel van Voortgesette Professionele Ontwikkeling (hierna verwys na as VPO) in Suid-Afrika asook oorsig oor die wyse waarop dit in 'n paar ander lande ingestel is. Die klem lê op die inherente waardes met betrekking tot die verbetering gehalte in mediese gesondheidsorg. Die mediese beroep, asook meeste van die belangegroepe het verskillende opvattings oor die feit dat die stelsel deur wetgewing gereguleer word. Daar is ook twyfel of die VPO-stelsel in sy vooropgestelde doelwitte sal slaag. Wat die opvoedkundige beginsels betref, is die VPO-stelsel nie totaal en al nuut nie. Alhoewel VPO in ander lande tradisie is, is dit nodig om die totstandkoming van waardes te ontgin. Die moontlike sukses van hierdie tipe van evaluasies mag dalk beter begrip ten opsigte van die inherente waardes in die VPO-stelsel bevorder.
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Sugarman, Philip A. "A model of integrated healthcare governance." Thesis, University of Northampton, 2009. http://nectar.northampton.ac.uk/2716/.

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The history of psychiatry is littered with serious failures of governance, to the detriment of mentally disordered people, especially those resident in psychiatric hospitals. Current mental health providers, increasingly focussed on community care, have also struggled to develop effective internal governance systems. Nine peer-reviewed research papers, published by the author (mostly with others) and the wider literature, reveal deficits in mental health governance at a jurisdictional, professional, and corporate level. In this thesis new governance solutions are developed against this background, built on contemporary principles in mental health and healthcare management. A new model of mental health governance is presented, based on the key demands of the strategic and regulatory environment, articulated as rights, risks and recovery. This integrated healthcare governance approach, covering provider policy, staff training and service audit, can monitor and ensure the protection of patients’ rights, as well as those of others; it also promotes the management of clinical risks, and of patients’ recovery outcomes. Rights-based risk-reduction training is the core interventional element of the model, whilst the monitoring element can be formalised as part of a Balanced Scorecard reporting system. This thesis makes a contribution to research methodology, theory and practice in mental health, human rights, healthcare management and governance. The model generates specific propositions for testing in mental health governance, with the potential for application in wider settings of service provision.
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Court, Alex J. "They're NICE and neat, but are they useful? : a grounded theory of clinical psychologists' beliefs about, and use of, NICE guidelines." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12832/.

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There is a growing research interest into investigating why NICE (National Institute for Health and Care Excellence) guidelines are not consistently followed in UK mental health services. The current study utilised grounded theory methodology to investigate clinical psychologists’ use of NICE guidelines. Eleven clinical psychologists working in routine practice in the NHS were interviewed. A theoretical framework was produced conceptualising the participants’ beliefs, decision making processes and clinical practices. The overall emerging theme was “considering NICE guidelines to have benefits but to be fraught with dangers”. Participants were concerned that guidelines can create an unhelpful illusion of neatness. They managed the tension between the helpful and unhelpful aspects of guidelines by relating to them in a flexible manner. The participants reported drawing on specialist skills such as idiosyncratic formulation and integration. However, as a result of pressure, and also the rewards that follow from being seen to comply with NICE guidelines, they tended to practice in ways that prevent these skills from being recognised. This led to fears that their professional identity was threatened, which impacted upon perceptions of the guidelines. This is the first theoretical framework that attempts to explain why NICE guidelines are not consistently utilised in UK mental health services. Attention is drawn to the proposed benefits and limitations of guidelines and how these are managed. This study highlights the importance of clinical psychologists articulating and advertising their specialist skills. The findings are integrated with existing theory and research, and clinical and research implications are presented.
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Fickel, Jacqueline Jean. "Quality of care assessment : state Medicaid administrators' use of quality information." Full text (PDF) from UMI/Dissertation Abstracts International Access restricted to users with UT Austin EID, 2002. http://wwwlib.umi.com/cr/utexas/fullcit?p3077639.

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Javed, Sumbal. "Reconfiguration of vascular services to enhance quality of care." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206915.

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Hong Kong's aging population has, increased demand for vascular services. Currently, vascular surgery is subsumed under general surgery. The workload on both general surgery and vascular surgery is demanding and hence, not conductive to the development of vascular surgery. The volume of surgery, particularly emergency surgery provided by the Hospital Authority units varies significantly. The collaboration and differentiation of labor at present is not well defined in many centers. This may lead to unnecessary competition and duplication of resources in the long run. This project examined if there is room for improvement in the present situation and provides evidence for relevant service reconfiguration and discusses how Hong Kong can learn from some overseas examples to enhance quality of services delivered to patients.
published_or_final_version
Public Health
Master
Master of Public Health
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Driesen, Kevin E. "Statistical process control as quantitative method to monitor and improve medical quality." Diss., The University of Arizona, 2004. http://hdl.handle.net/10150/280602.

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Statistical Process Control (SPC) methods, developed in industrial settings, are increasingly being generalized to medical service environments. Of special interest is the control chart, a graphic and statistical procedure used to monitor and control variation. This dissertation evaluates the validity of the control chart model to improve medical quality. The research design combines descriptive and causal comparative (ex-post facto) methods to address the principal research question, How is the control chart model related to medical quality? Hospital data were used for patients diagnosed with Community Acquired Pneumonia (CAP). During the initial research phase, five medical quality "events" assumed to affect CAP medical quality indicators were pre-specified by hospital staff. The impact of each event was then evaluated using control charts constructed for CAP quality indicators. Descriptive analysis was undertaken to determine whether data violated the statistical assumptions underlying the control chart model. Then, variable and attribute control charts were constructed to determine whether special cause signals occurred in association with the pre-specified events. Alternative methods were used to calibrate charts to different conditions. Sensitivity was computed as the proportion of event-sensitive signals. The descriptive analysis of CAP indicators uncovered "messy," and somewhat complex, data structure. The CAP indicators were marginally stable showing trend, seasonal cycles, skew, sampling variation and autocorrelation. Study results need to be interpreted with the knowledge that few events were evaluated, and that the effect sizes associated with events were small. The charts applied to the CAP indicators showed limited sensitivity; for three chart-types (i.e. XmR, Xbar, and P-charts), there were more false alarms than event-associated signals. Conforming to expectation, larger sample size increased chart sensitivity. The application of Jaehn Decision Rules led to increases in both sensitivity and false alarm. Increasing subgroup frequency from month, to week samples, increased chart sensitivity, but also increased data instability and autocorrelation. Contrary to expectation, the application of hybrid charting techniques (EWMA and CUSUM) did not increase chart sensitivity. Study findings support the conclusion that control charts provide valuable insight into medical variation. However, design issues, data character, and causal logic provide conditions to the interpretation of control charts.
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Chu, Yim-kwong, and 朱琰光. "A study of the quality improvement of Hong Kong's health care system." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31966159.

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Books on the topic "Evaluation and quality control of medical care"

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Walker, Elinor. Quality-of-care research: Annotated bibliography. Rockville, MD (Executive Office Center, Suite 501, 2101 E. Jefferson St., Rockville 20852): U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1992.

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Samantha, Chao, ed. Advancing quality improvement research: Challenges and opportunities - workshop summary. Washington, D.C: National Academies Press, 2007.

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Organisation for economic co-operation and development. OECD reviews of health care quality: Norway 2014 : raising standards. Paris: OECD, 2014.

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Organisation for economic co-operation and development. OECD reviews of health care quality: Czech Republic 2014 : raising standards. Paris]: OECD, 2014.

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Hart, Marilyn K. Statistical process control for health care. Australia: Duxbury/Thomson Learning, 2002.

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Managing the quality of health care in developing countries. Washington, D.C: World Bank, 1995.

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M, Proyect Mitchell, ed. Quality management 2000: Preparing the quality improvement professional for the future. Chicago: Precept Press, 1997.

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Monitoring with indicators: Evaluating the quality of patient care. Gaithersburg, Md: Aspen Publishers, 1991.

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Simpson, James B. Release of physician-specific quality of care information: Legal issues. Washington, DC: Health Program, Office of Technology Assessment, U.S. Congress, 1988.

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Simpson, James B. Release of physician-specific quality of care information: Legal issues. Washington, DC: Health Program, Office of Technology Assessment, U.S. Congress, 1988.

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Book chapters on the topic "Evaluation and quality control of medical care"

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Lobo-Antunes, J. "“Emerging Unwanted Side Effects of Quality Control, or the Value of the Immeasurable Qualities of Medical Care”." In Risk Control and Quality Management in Neurosurgery, 205–8. Vienna: Springer Vienna, 2001. http://dx.doi.org/10.1007/978-3-7091-6237-8_38.

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Kariniemi, V., and J. Rosti. "Quality Control of the Obstetric Care with the Aid of Special Purpose Computers for Fetal Heart Rate Monitoring and Perinatal Data Base." In Medical Informatics Europe 85, 548–52. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93295-3_107.

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Feng, Qingming, Shuqing Huang, and Zhongping He. "Medical Quality and Safety Index: Research on the Evaluation Index System of the Control of the Disease Cost." In LISS 2013, 1041–45. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-40660-7_156.

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Villar, Feliciano, Rodrigo Serrat, Annette Bilfeldt, and Joe Larragy. "Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion." In International Perspectives on Aging, 297–309. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-51406-8_23.

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AbstractLiving in a long-term care (LTC) institution provides older people experiencing health and social problems with a comprehensive range of support services that address their quality of life. Despite access to such services, challenges arise in relation to their participation in key activities both within and outside the institution. This chapter examines such challenges, reviewing and describing ways to prevent exclusion along various domains, specifically social relationships, civic participation and socio-cultural life. Firstly, we discuss ways in which bio-medical models of care and the quality control systems, which are dominant in LTC services, standardise care, tending to put decisions exclusively in hands of staff, taking away residents’ autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people’s participation in at least four respects: (1) prompting and supporting residents’ ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents’ participation in the activities and management of the institution, and (4) guaranteeing residents’ rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.
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Pomares-Quimbaya, Alexandra, Rafael A. González, Alejandro Sierra, Julián Camilo Daza, Oscar Muñoz, Angel García, Alvaro Bustamante, Olga Milena García, and Wilson Ricardo Bohórquez. "ICT for Enabling the Quality Evaluation of Health Care Services." In Advances in Healthcare Information Systems and Administration, 196–210. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-1724-5.ch012.

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Medical practice, monitoring and control guidelines enable standardization, assessment and quality improvement in healthcare. This often implies collecting and analyzing electronic medical records (EMRs) in order to calculate compliance metrics and support evidence-based decision-making. However, for these benefits to materialize a set of challenges must be overcome, including the complexity required to represent guidelines in such a way that compliance can be automatically determined with the aid of software; the combination of both structured and unstructured (narrative text) data; and cultural or political barriers. In this chapter, we present a strategy to overcome these challenges using three case studies in chronic disease for a developing country. As such, this work contributes an approach to enable the use of ICT-supported medical guideline evaluation, in order to contribute to a more reliable and context-dependent way of improving healthcare in developing countries in particular.
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Beutter, Chantal N. L., Jan Ross, Patrick Werner, Dilyana Vladimirova, Uwe M. Martens, and Christian Fegeler. "Quality of Life as an Indicator for Care Delivery in Clinical Oncology Using FHIR." In German Medical Data Sciences: Bringing Data to Life. IOS Press, 2021. http://dx.doi.org/10.3233/shti210058.

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Introduction: Health-related quality of life (HR-QoL) as a parameter for patient well-being is becoming increasingly important.[1] Nevertheless, it is mainly used as an endpoint in studies rather than as an indicator for adjustments in therapy. In this paper we will present an approach to gradually integrate quality of life (QoL) as a control element into the care delivery of oncology. Concept: Acceptance, usability, interoperability and data protection were identified and integrated as key indicators for the development. As an initial approach, a questionnaire tool was developed to provide patients a simplified answering of questionnaires and physicians a clearer presentation of the results. Implementation: As communication standard HL7 FHIR was used and known security concepts like OpenID Concept were integrated. In a usability study, first results were achieved by asking patients in the waiting room to answer a questionnaire, which will be discussed with the physician in the appointment. This study was conducted in 2019 at theSLK Clinics Heilbronn and achieved 86% participation of all respondents with an average age of 67 years. Discussion: Although the evaluation study could prove positive results in usability and acceptance, it is necessary to aim for longitudinal surveys in order to include QoL as a control element in the therapy. However, a longitudinal survey through questionnaires leads to decreasing compliance and increasing response bias. [2] For this reason, the concept needs to be expanded. With sensors a continuous monitoring can be carried out and the data can be mapped to the individual, interpreted by machine learning. Conclusion: Questionnaires are a concept that has been successfully applied in studies for years. However, since care delivery poses different challenges, the integration of new concepts is inevitable. The authors are currently working on an extension of the use of questionnaires with patient generated data through sensors.
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Kelman, Howard R. "Evaluation of Health Care Quality by Consumers." In Socio-Medical Health Indicators, 63–73. Routledge, 2019. http://dx.doi.org/10.4324/9781315223711-5.

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Lagaay, Michael B. "Quality control in health care: the Dutch experience." In Medical Audit, 355–64. Cambridge University Press, 1993. http://dx.doi.org/10.1017/cbo9780511526718.024.

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Banerjee, Sube. "Randomized controlled trials." In Practical Psychiatric Epidemiology, 177–202. Oxford University Press, 2003. http://dx.doi.org/10.1093/med/9780198515517.003.0010.

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There are three main questions in health care: ‘what is going on?’, ‘why?’ and ‘what do we do about it?’. ‘What is going on?’ forms the basis for clinical assessment including history taking, examination, and diagnosis. The question ‘why?’ underlies all aetiological research from laboratory science to epidemiology. The cross-sectional, case–control and cohort methodologies discussed in other chapters in this book provide the methodology for addressing ‘why?’ questions. However, just as medicine is more than diagnosis it also covers treatment, medical research is more than aetiology: it also necessarily extends to the evaluation of interventions. Aetiological research which cannot be translated into health benefits through new or improved interventions is at best sterile and at worse selfindulgent, begging another important question: ‘so what?’. Flawed evaluations of interventions can be even more problematic since these may harm rather than help. Intervention studies (of which randomized controlled trials (RCTs) are the most important type, on the basis of quality of evidence available from them) take aetiological insights into action and provide the best evidence upon which to found clinical practice. In this chapter we will consider some of the more important factors in the design, conduct, analysis, and interpretation of RCTs.
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Sarmukaddam, Sanjeev. "Quality Control in Medical and Health Care." In Fundamentals of Biostatistics, 220. Jaypee Brothers Medical Publishers (P) Ltd., 2006. http://dx.doi.org/10.5005/jp/books/10313_17.

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Conference papers on the topic "Evaluation and quality control of medical care"

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Liu, Chengcheng. "Strategies on healthy urban planning and construction for challenges of rapid urbanization in China." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/subf4944.

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In the past 40 years, China has experienced the largest and fastest urbanization development in the world. The infrastructure, urban environment and medical services of cities have been improved significantly. The health impacts are manifested in the decrease of the incidence of infectious diseases and the significant increase of the life span of residents. However, the development of urbanization in China has also created many problems, including the increasing pollution of urban environment such as air, water and soil, the disorderly spread of urban construction land, the fragmentation of natural ecological environment, dense population, traffic congestion and so on. With the process of urbanization and motorization, the lifestyle of urban population has changed, and the disease spectrum and the sequence of death causes have changed. Chronic noncommunicable diseases have replaced acute infectious diseases and become the primary threat to urban public health. According to the data published by the famous medical journal The LANCET on China's health care, the economic losses caused by five major non-communicable diseases (ischemic heart disease, cerebrovascular disease, diabetes mellitus, breast cancer and chronic obstructive pulmonary disease) will reach US$23 trillion between 2012 and 2030, more than twice the total GDP of China in 2015 (US$11.7 trillion). Therefore, China proposes to implement the strategy of "Healthy China" and develop the policy of "integrating health into ten thousand strategies". Integrate health into the whole process of urban and rural planning, construction and governance to form a healthy, equitable and accessible production and living environment. China is building healthy cities through the above four strategies. The main strategies from national system design to local planning are as follows. First of all, the top-level design of the country. There are two main points: one point, the formulation of the Healthy China 2030 Plan determines the first batch of 38 pilot healthy cities and practices the strategy of healthy city planning; the other point, formulate and implement the national health city policy and issue the National Healthy City. The evaluation index system evaluates the development of local work from five aspects: environment, society, service, crowd and culture, finds out the weak links in the work in time, and constantly improves the quality of healthy city construction. Secondly, the reform of territorial spatial planning. In order to adapt to the rapid development of urbanization, China urban plan promote the reform of spatial planning system, change the layout of spatial planning into the fine management of space, and promote the sustainable development of cities. To delimit the boundary line of urban development and the red line of urban ecological protection and limit the disorderly spread of urban development as the requirements of space control. The bottom line of urban environmental quality and resource utilization are studied as capacity control and environmental access requirements. The grid management of urban built environment and natural environment is carried out, and the hierarchical and classified management unit is determined. Thirdly, the practice of special planning for local health and medical distribution facilities. In order to embody the equity of health services, including health equity, equity of health services utilization and equity of health resources distribution. For the elderly population, vulnerable groups and patients with chronic diseases, the layout of community health care facilities and intelligent medical treatment are combined to facilitate the "last kilometer" service of health care. Finally, urban repair and ecological restoration design are carried out. From the perspective of people-oriented, on the basis of studying the comfortable construction of urban physical environment, human behavior and the characteristics of human needs, to tackle "urban diseases" and make up for "urban shortboard". China is building healthy cities through the above four strategies. Committed to the realization of a constantly developing natural and social environment, and can continue to expand social resources, so that people can enjoy life and give full play to their potential to support each other in the city.
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Morant, J. J., M. Chevalier, E. Guibelalde, and M. E. Brandan. "Quality control evaluation of 37 liquid crystal displays used in diagnostic services." In SPIE Medical Imaging, edited by Berkman Sahiner and David J. Manning. SPIE, 2009. http://dx.doi.org/10.1117/12.810955.

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Leckie, Robert G., Monet R. Sheehy, Lawrence Cade, Fred Goeringer, Chris A. Meyers, James E. Parker, Donald V. Smith, and Matthew T. Freedman. "Evaluation of traumatic lateral cervical spine computed radiography images: quality control acceptability of images for clinical diagnosis, hardcopy versus high-resolution monitors." In Medical Imaging 1993, edited by Yongmin Kim. SPIE, 1993. http://dx.doi.org/10.1117/12.146959.

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Alves, Joao M., Danielle B. L. Albino, Marisete C. Resener, Marlene Zannin, Alexandre Savaris, Christiane G. von Wangenheim, and Aldo von Wangenheim. "Quality Evaluation of Poison Control Information Systems: A Case Study of the DATATOX System." In 2016 IEEE 29th International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2016. http://dx.doi.org/10.1109/cbms.2016.53.

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Coelho, K. A., A. V. Alvarenga, L. S. Lima, R. M. Costa, M. A. von Kruger, and W. C. A. Pereira. "Linear relationship between the Effective Radiation Area and thermal images on thermochromic test body for the purpose of dosimetry quality control." In 2017 Global Medical Engineering Physics Exchanges/Pan American Health Care Exchanges (GMEPE/PAHCE). IEEE, 2017. http://dx.doi.org/10.1109/gmepe-pahce.2017.7972093.

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Holmes, Breanna, and Wenlong Zhang. "Design, Characterization, and Evaluation of a Dynamic Soft Robotic Prosthetic Socket Interface." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3232.

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Prosthetic sockets are static interfaces for dynamic residual limbs. As the user’s activity level increases, the volume of the residual limb can decrease by up to 11% and increase by as much as 7% after activity. Currently, volume fluctuation is addressed by adding/removing prosthetic socks to change the profile of the residual limb. However, this is impractical and time consuming. These painful/functional issues demand a prosthetic socket with an adjustable interface that can adapt to the user’s needs. This paper presents a prototype design for a dynamic soft robotic interface which addresses this need. The actuators are adjustable depending on the user’s activity level, and their structure provides targeted compression to the soft tissue which helps to limit movement of the bone relative to the socket. Testing of the prototype demonstrated promising potential for the design with further refinement. Work on embedded sensing and intelligent feedback control should be continued in future research in order to create a viable consumer product which can improve a lower limb amputee’s quality of life.
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Koehler-McNicholas, Sara R., Alana Cataldo, Elizabeth Koch, Brittany Rud, Laura Gude, Charlotte Brenteson, Doug Johnson, et al. "Evaluation of a Novel Gait Training Device Using a Pressure Suit to Support Body Weight." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6845.

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Supporting body weight and balance control are foundations of our ability to move and function independently. However, neurological disease, injury, and aging often threaten these prerequisites of functional independence, leading to a decrease in quality of life. In the United States alone, 7.5 million individuals have survived stroke, traumatic brain injury (TBI), or spinal cord injury (SCI), and over a million new patients are diagnosed every year [1–2]. To improve gait function in these patient populations, partial body weight-supported gait training is a widely-used rehabilitation therapy. In general, the therapeutic quality of partial body weight-supported gait training is directly proportional to the amount of time patients are able to tolerate an upright posture (either standing or walking). To achieve an upright posture, therapists must first attach a support system (e.g., gait belt, harness lift system, exoskeleton), then several therapists must assist the patient into a standing position. Depending on the patient’s level of impairment, several therapists may also be needed to support and assist the patient while standing and walking, then again to remove the support system at the end of therapy. Accordingly, multiple therapists are often needed to provide a small quantity of upright physical therapy time with standard support systems. Furthermore, use of standard support systems can be uncomfortable and fatiguing for the patient, further reducing their actual therapeutic treatment time [3].
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Ilia, Theodosis, and Loucas S. Louca. "Evaluation Metrics of Upper Extremities for People With Neurological Disorders: An Energy Based Approach." In ASME 2017 Dynamic Systems and Control Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dscc2017-5357.

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Various neurological disorders, like Parkinson’s disease, Multiple Sclerosis, Huntington’s disease and Stroke, affect millions of people worldwide. Tremor that is a result of these disorders affects the performance of many Activities of Daily Living such as dressing, bathing, self-care, and writing, which reduces the functional independence and self-rated quality of life. Standardized rating scales have been developed, however, these scales display some degree of variability due to their subjective/qualitative approach. Therefore, the accurate and objective measure of a patient’s condition is crucial. Due to the lack of objectivity and accuracy from conventional procedures, there is a need to develop an objective evaluation system. In this work, a horizontal movement test is implemented in a Virtual Environment with the use of a Haptic Interface. The proposed test consists of a simple reaching task (more tasks are under development) for defining quantitative metrics. Wrist motion is accurately measured using the haptic interface and analyzed to calculate evaluation metrics based on the joint energy and spatial deviation from the ideal path. To improve the sensitivity of the metrics, a harmonic disturbance force is applied by the haptic interface to the user. The disturbance frequency is varied from 1 to 7 Hz and the duration of the movement is constraint to be constant. Fourteen healthy adults performed the experiments with 10 to 21 repetitions for each movement conditions. The results show that all users spend higher energy to complete the test at frequencies around 2.5 Hz. The statistical analysis indicates that energy is a reliable evaluation metric, with low variance, that can be used to quantify upper extremities.
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Aharonson, Vered, Ilana Schlesinger, Andre McDonald, Steven Dubowsky, and Amos Korczyn. "Monitoring of Parkinson’s Patients Gait Using Simple Walker Based Motion Sensing and Data Analysis." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3301.

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Parkinson’s disease (PD) is a degenerative disease with diverse clinical features. At present, there is no definitive test for the diagnosis of PD [1]. Instead, PD is diagnosed using clinical criteria which are based on the presence and presentation of signs such as rest tremor, bradykinesia, rigidity, loss of postural reflexes, shuffling gait and freezing, as well as non-motor symptoms. Various treatments, ranging from physical therapy and medications to invasive treatments, can help relieve some PD symptoms. These treatments need quantitative monitoring and efficacy evaluation methods in order to provide higher quality, patient-centered care. A quantitative assessment of the patients’ clinical symptoms can also provide a timely alert to adverse events [2]. A variety of devices employing sensors with the purpose of monitoring PD patients’ symptoms were developed [3, 4]. Most of these devices are costly and / or complex in operation and maintenance, which limits their practicality in busy hospital / clinic environments and for home use. Moreover, they do not provide appropriate solutions for monitoring more severe cases of PD, where the patient requires a walking aid such as a cane or walker.
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Ito, Teruaki. "Air Bubble Detection for Product Quality Inspection." In ASME 2011 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2011. http://dx.doi.org/10.1115/detc2011-47630.

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Product quality is one of the critical issues to be competitive in the global market place. Especially, food production companies are strongly required to control high product quality in their production lines. The contaminations such as metallic, or plastic, organic materials are harmful to human body and should be eliminate as much as possible. Therefore, machine inspections, such as X-ray or fluorescence spectrum methods work effectively to eliminate these contamination substances. However, the final inspections are taken care of by human inspectors to make sure the product quality kept in the required specifications. Contaminations are not perfectly eliminated by machine inspections and human inspections could cover some of them. That is not the only reason why the human inspector takes care of. Even though there is no contamination in the products, appearance of products may decrease the quality of the products. For example, even though air bubble has nothing to do with the taste of Tofu, customers do not purchase such Tofu which contains many air bubbles, whereas they would buy Tofu with some air bubble. Therefore, human inspectors review the Tofu package to check the defective products because of the air bubble, which is hard to be processed by machine inspection. This study proposes image processing-based air bubble detection method on Tofu packages to inspect the product quality without image sensor devices. Based on the results of air bubble detection on the Tofu package, the evaluation will be made on each package. The study applied an evaluation criterion based on the experiments. However, the results are not always identical to those by human inspection because of the disagreement of threshold value in evaluation. This paper presents the image-processing air bubble detection method to determine the quality of Tofu products and discusses the feasibility of this method in comparison with the human inspection results.
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Reports on the topic "Evaluation and quality control of medical care"

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Gindi, Renee. Health, United States, 2019. Centers for Disease Control and Prevention (U.S.), 2021. http://dx.doi.org/10.15620/cdc:100685.

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Health, United States, 2019 is the 43rd report on the health status of the nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). The Health, United States series presents an annual overview of national trends in key health indicators. The 2019 report presents trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health care expenditures in a 20-figure chartbook. The Health, United States, 2019 Chartbook is supplemented by several other products including Trend Tables, an At-a-Glance table, and Appendixes available for download on the Health, United States website at: https://www.cdc.gov/nchs/hus/ index.htm. The Health, United States, 2019 Chartbook contains 20 figures and 20 tables on health and health care in the United States. Examining trends in health informs the development, implementation, and evaluation of health policies and programs. The first section (Figures 1–13) focuses on health status and determinants: life expectancy, infant mortality, selected causes of death, overdose deaths, suicide, maternal mortality, teen births, preterm births, use of tobacco products, asthma, hypertension, heart disease and cancer, and functional limitations. The second section (Figures 14–15) presents trends in health care utilization: use of mammography and colorectal tests and unmet medical needs. The third section (Figures 16–17) focuses on health care resources: availability of physicians and dentists. The fourth section (Figures 18–20) describes trends in personal health care expenditures, health insurance coverage, and supplemental insurance coverage among Medicare beneficiaries. The Highlights section summarizes major findings from the Chartbook. Suggested citation: National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021.
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