Experts agree–the U.S. has achieved the most technologically advanced medical care system in the world and it provides the highest quality, most comprehensive medical education available. Can we conclude that our health care system is one of America's success stories? It appears–we cannot. However, amid growing concern over our health care system, there is far less agreement on what to do about it. Jennie Kronenfeld addresses major health care controversies confronting American society, health care professionals, and policymakers. This intriguing book focuses on the overlapping area between policy sciences and health care studies, particularly the cost, access, and quality of health care. Kronenfeld discusses whether our system can solve its problems, or whether we have a health care “system” at all. Do we have a national health care “policy,” or a web of state, county, and city policies? And, what of fundamental changes being adopted in the midst of the controversies surrounding reproductive health and abortion, mental health and behavioral health, disease patterns/physical health/AIDS, aging and long-term care, as well as the professions and facilities who provide care? A provocative examination of these important issues, Controversial Issues in Health Care Policy is essential reading for students of policy studies, health services, and sociology, as well as for policymakers, and health care professionals.
Chapter 8: Quality of Health Care Technology
Quality of Health Care Technology
Quality is the third leg of the three-legged stool of essential elements in health services research and health care delivery, with the other two being costs and access. No evaluation of a health care system or discussion of health care policy issues is complete without attention to quality. Once we talk about quality, we are also talking about evaluation and measurement of health systems outputs, since defining and examining quality is necessarily an evaluative process. One difficulty in the area of quality, as compared to the that of cost, is that measurement is less clear and the health care system in the United States is not easily amenable to evaluation. No clear and complete consensus exists ...