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September 1990 (Volume 68)
Quarterly Article
Andrew M. Kramer
Peter W. Shaughnessy
Marjorie K. Bauman
Kathryn S. Crisler
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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 settings. A conceptual framework is proposed to assess home health-care quality based on two premises: outcome, process, and structural measures, first, are required to evaluate quality accurately; classification of patients into quality indicator groups (QUIGs), second, permits specification and use of more practical and valid quality measures. 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 system of operational quality measures are currently underway.
Author(s): Andrew M. Kramer; Peter W. Shaughnessy; Marjorie K. Bauman; Kathryn S. Crisler
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Volume 68, Issue 3 (pages 413–443) Published in 1990
