BIOSTAT 1E-RESP
Gracenana
BIOSTAT1E-RESP.docxOne post written in response to fellow learners’ post and are each between 100-150 words. Response is substantive insightful and contain at least one reference.
Avedis Donabedian, a professor of medical care organization at the University of Michigan School of Public Health, published an article in 1966called “Evaluating the Quality of Medical Care,”. This article became the nucleus of his influential body of work using the triad of structure, process, and outcome to evaluate the quality of health care. The model proposes that structure, process, and outcomes are closely linked and determine the outcome (Quality. (n.d.). These concepts remain the foundation of quality assessment today. The structure has long been assessed by means of board certification of physicians and Joint Commission accreditation of hospitals. Process and outcome measures are now vetted and endorsed by the National Quality Forum and National Committee for Quality Assurance, and Medicare publicly reports the performance of hospitals, nursing homes, and health plans on such measures. Furthermore, board certification programs for physicians now strive to foster continuous learning and monitoring of clinical performance measures (Yanian & Markel, 2016).
1.Structure describes how the care is delivered, including facilities, equipment, and human resources.
2.Process points out all the collaborations between patients and providers, including diagnoses, treatments, preventive care, and patient education.
3. Outcomes are all the effects of health care on the health status of patients and populations, including changes in health status, behavior, understanding, satisfaction, and quality of life (Hiott et al., 2017)
In my project, the Donabedian framework is used because the structure of the project is designed with the help of stakeholders and other providers according to the guidelines. The interaction between medical staff is achieved by inquiring about the standard of practice at the clinic. The effect can be only evaluated after the implementation of the protocol. The project goal is to improve depression screening, so as to reduce the diagnosing errors of depression. Early diagnosis could improve the quality of life.
References
Hiott, D. B., Phillips, S., & Amella, E. (2017). Adolescent risk screening instruments for primary care: An integrative review utilizing the Donabedian framework. Comprehensive Child and Adolescent Nursing, 41(4), 255-275. https://doi.org/10.1080/24694193.2017.1330372 (Links to an external site.)
Yanian, J. Z., & Markel, H. (2016). Donabedian’s lasting framework for health care quality. The New England Journal of Medicine, 375(3), 205-207. doi:http://dx.doi.org/10.1056/NEJMp1605101
