P.S.R.O., Quality of Care, and Research

1980 ◽  
Vol 3 (4) ◽  
pp. 461-472
Author(s):  
Richard Goldstein
Keyword(s):  
Quality Of Care ◽  
Medical Care ◽  
Peer Review ◽  
Evaluation System ◽  
Public Law ◽  
Professional Standards ◽  
Necessary Condition ◽  
Quality Of Medical Care

A necessary condition for achieving the legislative goals of Public Law 92-603, which created the Professional Standards Review Organizations, is the proper evaluation of the system of providing medical care. Peer review as currently constituted does not provide a proper evaluation. This article shows why present practices are not satisfactory, presents an outline of a minimally satisfactory evaluation system, and concludes by showing that many of the criticisms made of P.S.R.O.s are deficient, and that peer review has the potential for resulting in some improvement in the quality of medical care.

scholarly journals The analysis of complaints of patients obstetric institutions on issues of quality of care

2017 ◽  
Vol 66 (6) ◽  
pp. 101-107
Author(s):  
Natalia G. Petrova ◽  
Vyacheslav M. Bolotskykh ◽  
Konstantin V. Yaroslavskiy
Keyword(s):  
Quality Of Care ◽  
Medical Care ◽  
Quality Of Medical Care ◽  
Sanitary Conditions

The article presents the analysis of complaints in 75 patients obstetric hospital. It is established that in the structure of reduced complaints proportion of complaints about the organization of medical care and sanitary conditions and increased the quality of medical care. Of the total number of complaints 30.7% of substantiated. The highest percentage of complaints is necessary to work the receiving Department (33,3% of the total complaints) and women’s consultations (25.4%).

scholarly journals Patient Satisfaction Ratings of Male and Female Residents Across Subspecialties

Neurosurgery ◽  
2019 ◽  
Vol 86 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Methma Udawatta ◽  
Yasmine Alkhalid ◽  
Thien Nguyen ◽  
Vera Ong ◽  
Jos’lyn Woodard ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Medical Care ◽  
Communication Skills ◽  
Gender Inequalities ◽  
Male And Female ◽  
Medical Expertise ◽  
Significant Difference ◽  
Quality Of Medical Care

Abstract BACKGROUND Females currently comprise approximately 50% of incoming medical students yet continue to be underrepresented in certain medical subspecialties. OBJECTIVE To assess whether gender plays a role in patients’ perception of physician competency among different specialties. METHODS We administered surveys at 2 academic medical centers to patients who were stable, cognitively aware, and indicated English as their primary language. Survey questions evaluated communication, medical expertise, and quality of care. RESULTS A total of 4222 surveys were collected. Females comprised around half (n = 2133, 50.7%) of evaluated residents. First-year (n = 1647, 39%) and second-year (n = 1416, 33.5%) residents were assessed most frequently. Internal medicine conducted the most surveys (n = 1111, 23.6%), whereas head and neck surgery conducted the least (n = 137, 3.24%). There was no statistically significant difference between patients’ perception of male and female residents of the same year in overall communication skills, medical expertise, and quality of medical care. Female residents outperformed their male counterparts on specific questions evaluating the communication of treatment plans, patient education, and patient satisfaction (P < .001, P = .03, P = .04, respectively). Unsurprisingly, patients’ perceptions of residents’ overall communication skills, medical expertise, and quality of medical care significantly improved when comparing more experienced residents to newer residents. CONCLUSION There is no difference between overall communication, medical expertise, and quality of care between sexes, and across subspecialties. Though gender inequalities currently exist most starkly in practitioners in surgical subspecialties, women in surgical residencies were much better communicators than their male counterparts, but still perceived to have similar levels of medical expertise and quality of care.

Patient Accountability and Quality of Care: Lessons From Medical Consumerism and the Patients’ Rights, Women’s Health and Disability Rights Movements

1994 ◽  
Vol 20 (1-2) ◽  
pp. 147-167
Author(s):  
Marc A. Rodwin
Keyword(s):  
Quality Of Care ◽  
Medical Care ◽  
Women’S Health ◽  
Women's Health ◽  
Disability Rights ◽  
Medical Care System ◽  
Patients Rights ◽  
Alternative Approach ◽  
Quality Of Medical Care

This article contrasts the prevailing model for assessing and improving medical care—the quality of care paradigm—with an alternative approach—the patient accountability paradigm. The first approach is technocratic: it measures and promotes the quality of medical care through technical and objective means. It relies on outside experts, analysis of data and protocols, and impersonal judgements of professionals to guide decisions. The second approach guides physicians and providers and subjects them to patient control. It enlists the participation of patients and consumers to evaluate and change the medical care system and to promote the rights and choices of patients and consumers. The strengths and limitations of the patient accountability approach are illustrated by four movements: 1) the patients’ rights movement; 2) medical consumerism; 3) the women’s health movement; and 4) the disability rights movement.

scholarly journals ASSESSMENT OF THE QUALITY OF CARE FOR PATIENTS WITH MYOCARDIAL INFARCTION

2020 ◽  
Vol 73 (6) ◽  
pp. 1234-1236
Author(s):  
Viktor A. Ohniev ◽  
Anna A. Podpriadova ◽  
Kateryna H. Pomohaibo
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Quality Of Care ◽  
Health Status ◽  
Medical Care ◽  
Self Monitoring ◽  
Quality Of Medical Care

The aim of the work was to study and evaluate the quality of medical care provided to patients with myocardial infarction. Materials and methods: A sociological survey was conducted in 310 people with myocardial infarction and the copying of data from 318 statistical maps of patients who left the hospital. Results: It was defined that the majority of patients, 57.7 ± 2.8%, were not offered psychological rehabilitation, only 42.3 ± 2.8% were recommended the consultation of a psychologist; most of patients, 89.3±1.78%, were unaware of the possibility of self-monitoring of their health status after myocardial infarction and 10.7 ± 1.8% kept selfcontrol diaries; 88.4±1.9% of patients were under monitoring supervision, while 11.6 ± 1.9% were not under it. Conclusions: Identification of the quality of care makes it possible to optimize the system of providing health care for patients with myocardial infarction.

Enhancing quality of medical care in low income and middle income countries through simulation-based initiatives: recommendations of the Simnovate Global Health Domain Group

2017 ◽  
Vol 3 (Suppl 1) ◽  
pp. S15-S22 ◽  
Author(s):  
Lekha Puri ◽  
Jishnu Das ◽  
Madhukar Pai ◽  
Priya Agrawal ◽  
J Edward Fitzgerald ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Global Health ◽  
Medical Care ◽  
Low Income ◽  
Middle Income ◽  
Health Domain ◽  
Middle Income Countries ◽  
Simulation Based ◽  
Quality Of Medical Care

BackgroundQuality of medical care in low income and middle income countries (LMICs) is variable, resulting in significant medical errors and adverse patient outcomes. Integration of simulation-based training and assessment may be considered to enhance quality of patient care in LMICs. The aim of this study was to consider the role of simulation in LMICs, to directly impact health professions education, measurement and assessment.MethodsThe Simnovate Global Health Domain Group undertook three teleconferences and a direct face-to-face meeting. A scoping review of published studies using simulation in LMICs was performed and, in addition, a detailed survey was sent to the World Directory of Medical Schools and selected known simulation centres in LMICs.ResultsStudies in LMICs employed low-tech manikins, standardised patients and procedural simulation methods. Low-technology manikins were the majority simulation method used in medical education (42%), and focused on knowledge and skills outcomes. Compared to HICs, the majority of studies evaluated baseline adherence to guidelines rather than focusing on improving medical knowledge through educational intervention. There were 46 respondents from the survey, representing 21 countries and 28 simulation centres. Within the 28 simulation centres, teachers and trainees were from across all healthcare professions.DiscussionBroad use of simulation is low in LMICs, and the full potential of simulation-based interventions for improved quality of care has yet to be realised. The use of simulation in LMICs could be a potentially untapped area that, if increased and/or improved, could positively impact patient safety and the quality of care.

scholarly journals Expertise of quality of medical care in general practice

2017 ◽  
Vol 21 (3) ◽  
pp. 16-22
Author(s):  
Irina E Moiseeva
Keyword(s):  
General Practice ◽  
Quality Of Care ◽  
Medical Care ◽  
General Practitioners ◽  
Medical Records ◽  
Medical Insurance ◽  
Family Doctors ◽  
Quality Of Medical Care

The article presents some results of the expertise of the quality of medical care by general practitioners (family doctors) in outpatient medical organizations working in the system of obligatory medical insurance. The most common errors in the collection of information, the diagnosis and the treatment, identified during the expertise of the quality of care by the assessment of patient medical records, as well as comments on the often-occurring defects in the preparation of medical records are listed.

Medical and Sociological Characteristics of City Multi-Profile Hospital

10.12737/9089 ◽  
2015 ◽  
Vol 22 (1) ◽  
pp. 106-111
Author(s):  
Орлов ◽  
A. Orlov
Keyword(s):  
Quality Of Care ◽  
Staff Development ◽  
Medical Care ◽  
Health Workers ◽  
Hospital Staff ◽  
Sociological Research ◽  
Ongoing Work ◽  
Medical Person ◽  
Quality Of Medical Care

The article describes medical and sociological large multidisciplinary inpatient hospital care in Samara city according to study of the opinions of patients and health workers. 357 respondents from among the patients of the hospital and 295 respondents from a number of doctors and paramedical staff of this medical prophylactic institution took part in the survey. The study was conducted on the basis of specially designed questionnaires. Sociological research method was used.The majority of patients were satisfied with both the terms of stay relation in the hospital, and the quality of diagnostic and therapeutic issues incorporated, the organization of medical care. Medical person-nel actively engaged in self-education on the assessment, monitoring and ensuring the quality of care. It was established a high proportion of respondents who consider themselves knowledgeable in matters of quality of care and well-assess the quality of care at the hospital. They believe that the ongoing work to ensure the quality of medical care is in the hospital. It is necessary to continue work in a multidisciplinary hospital staff development in the area of quality of care, as many of the questions, respondents of the number of health workers failed to give a complete and correct answer (in terms of the componentsof the ILC, controls carried out by health insurance organizations, controls).

scholarly journals Quality of medical care for people with and without comorbid mental illness and substance misuse: systematic review of comparative studies

2009 ◽  
Vol 194 (6) ◽  
pp. 491-499 ◽  
Author(s):  
Alex J. Mitchell ◽  
Darren Malone ◽  
Caroline Carney Doebbeling
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Substance Use ◽  
Quality Of Care ◽  
Medical Care ◽  
Substance Use Disorder ◽  
Psychiatric Illness ◽  
Substance Misuse ◽  
Quality Of Medical Care

BackgroundThere has been long-standing concern about the quality of medical care offered to people with mental illness.AimsTo investigate whether the quality of medical care received by people with mental health conditions, including substance misuse, differs from the care received by people who have no comparable mental disorder.MethodA systematic review of studies that examined the quality of medical care in those with and without mental illness was conducted using robust critical appraisal techniques.ResultsOf 31 valid studies, 27 examined receipt of medical care in those with and without mental illness and 10 examined medical care in those with and without substance use disorder (or dual diagnosis). Nineteen of 27 and 10 of 10, respectively, suggested inferior quality of care in at least one domain. Twelve studies found no appreciable differences in care or failed to detect a difference in at least one key area. Several studies showed an increase in healthcare utilisation but without any increase in quality. Three studies found superior care for individuals with mental illness in specific subdomains. There was inadequate information concerning patient satisfaction and structural differences in healthcare delivery. There was also inadequate separation of delivery of care from uptake in care on which to base causal explanations.ConclusionsDespite similar or more frequent medical contacts, there are often disparities in the physical healthcare delivered to those with psychiatric illness although the magnitude of this effect varies considerably.SummaryThere is strong evidence to support inequalities in medical care disadvantaging those who have a psychiatric illness or a substance use disorder. Despite promising approaches to shared care there is a substantial gap in routine medical care for many individuals with mental illness or substance use disorders.2,99,100 This is most apparent in general (internal) medicine and cardiovascular care but may also be present in diabetes care and cancer care. There is little evidence to suggest that the recommended enhanced medical care for individuals with mental illness has been successfully implemented. Future work must focus on the type and severity of mental illness, patient factors such as adherence and systems interventions to increase the quality of care for those with chronic mental illness.

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