Résumé :
|
Increased use of home care services, and the provision of more sophisticated care to acutely ill patients, have prompted concern about quality assurance in home setting. A conceptual framework is proposed to assess home health-care quality based on two premises : outcomes, process, and structural measures, first, are required to evaluate quality acurately; classification of patients into quality indicator groups (QUIGs), second, permits specification and use of more practical and valid quality leasures. The framework may prove useful because measures are related directly to patient conditions, services rendered, and treatment objectives. further reliability and validity testing of the QUIGs and a sytem of operational quality measures are ccurrently underway. (R.A.)
|