Six Challenges in Measuring the Quality of Health Care

Health Affairs

Volumn 16, Issue 3, 1997, Pages 7-21

  McGlynn, Elizabeth A ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COST CONTROL; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HUMAN; INFORMATION SYSTEM; METHODOLOGY; SOCIAL BEHAVIOR; STANDARD; UNITED STATES;

COST CONTROL; HEALTH CARE COSTS; HEALTH FACILITIES; HEALTH POLICY; HEALTH SERVICES RESEARCH; HUMANS; INFORMATION SYSTEMS; QUALITY OF HEALTH CARE; SOCIAL RESPONSIBILITY; UNITED STATES;

EID: 0344483277     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.16.3.7     Document Type: Article

References (16)

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2. S.M. Soumerai et al., "Payment Restrictions for Prescription Drugs under Medicaid: Effects on Therapy, Cost, and Equity," The New England Journal of Medicine 317, no. 9 (1987): 550-556; A.L. Siu, A. Leibowitz, and R.H. Brook, "Use of the Hospital in a Randomized Trial of Prepaid Care," Journal of the American Medical Association 259, no. 9 (1988): 1343-1346; and A.L. Siu et al., "Inappropriate Use of Hospitals in a Randomized Trial of Health Insurance Plans," The New England Journal of Medicine 315, no. 20 (1986): 1259-1266.
3. S.M. Soumerai et al., "Payment Restrictions for Prescription Drugs under Medicaid: Effects on Therapy, Cost, and Equity," The New England Journal of Medicine 317, no. 9 (1987): 550-556; A.L. Siu, A. Leibowitz, and R.H. Brook, "Use of the Hospital in a Randomized Trial of Prepaid Care," Journal of the American Medical Association 259, no. 9 (1988): 1343-1346; and A.L. Siu et al., "Inappropriate Use of Hospitals in a Randomized Trial of Health Insurance Plans," The New England Journal of Medicine 315, no. 20 (1986): 1259-1266.
4. K.N. Lohr, ed., Medicare: A Strategy for Quality Assurance, vol. 1 (Washington: National Academy Press, 1990).
5. S.T. Fleming, L.L. Hicks, and R.C. Bailey, "Interpreting the Health Care Financing Administration's Mortality Statistics," Medical Care 33, no. 2 (1995): 186-201.
6. E.L. Hannan et al., "Improving the Outcomes of Coronary Artery Bypass Surgery in New York State," Journal of the American Medical Association 271, no. 10 (1994): 761-766.
7. J.K. Iglehart, "The National Committee for Quality Assurance," The New England Journal of Medicine 335, no. 13 (1996): 995-999.
8. L.L. Leape et al., Coronary Artery Bypass Graft: A Literature Review and Ratings of Appropriateness and Necessity, Pub. no. JRA-02 (Santa Monica, Calif.: RAND, 1991).
9. Ibid.
10. R. Sturm and K.B. Wells, "How Can Care for Depression Become More Cost-Effective?" Journal of the American Medical Association 74, no. 1 (1995): 51-58.
11. The CPM was convened by the NCQA in the summer of 1995 to guide the development of HEDIS 3.0. The CPM included representatives of public and private purchasers, managed care plans, and consumer groups.
12. G.S. Chulis, "Assessing Medicare's Prospective Payment System for Hospitals," Medical Care Review (Summer 1991): 167-206; K.L. Kahn et al., "Comparing Outcomes of Care before and after Implementation of the DRG-Based Prospective Payment System," Journal of the American Medical Association 264, no. 15 (1990): 1984-1988; and V.B. Latta and R.E. Keene, "Use and Cost of Short-Stay Hospital Inpatient Services under Medicare, 1988," Health Care Financing Review 12, no. 1 (1990): 91-99.
13. G.S. Chulis, "Assessing Medicare's Prospective Payment System for Hospitals," Medical Care Review (Summer 1991): 167-206; K.L. Kahn et al., "Comparing Outcomes of Care before and after Implementation of the DRG-Based Prospective Payment System," Journal of the American Medical Association 264, no. 15 (1990): 1984-1988; and V.B. Latta and R.E. Keene, "Use and Cost of Short-Stay Hospital Inpatient Services under Medicare, 1988," Health Care Financing Review 12, no. 1 (1990): 91-99.
14. G.S. Chulis, "Assessing Medicare's Prospective Payment System for Hospitals," Medical Care Review (Summer 1991): 167-206; K.L. Kahn et al., "Comparing Outcomes of Care before and after Implementation of the DRG-Based Prospective Payment System," Journal of the American Medical Association 264, no. 15 (1990): 1984-1988; and V.B. Latta and R.E. Keene, "Use and Cost of Short-Stay Hospital Inpatient Services under Medicare, 1988," Health Care Financing Review 12, no. 1 (1990): 91-99.
15. J.P. Newhouse and the Insurance Experiment Group, Free for All? Lessons Learned from the RAND Health Insurance Experiment (Cambridge, Mass.: Harvard University Press, 1993).
16. H. Kattlove et al., "Benefits and Costs of Screening and Treatment for Early Breast Cancer: Development of a Basic Benefit Package," Journal of the American Medical Association 273, no. 2 (1995): 142-148.