Assignment: Research-How Healthcare Advanced
Assignment: Research-How Healthcare Advanced
Quality of Medical Care Assessment
Medical care quality is a critical aspect of performance that all healthcare organizations must prioritize. Hospital accreditation also depends on an organization’s capacity to provide care that aligns with the established performance standards. During the assessment, the structure, process, and outcomes are central focus areas, and nursing professionals should understand what each dimension represents and its importance.
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Healthcare organizations’ capacity to deliver high-quality care depends on their resources, healthcare approaches, and output. The structure dimension in care quality assessment represents the setting where care occurs. As Santry et al. (2020) explained, the structure encompasses the physical and organizational factors and the characteristics of the healthcare delivery system. These factors include infrastructure, nature management and leadership, nurse welfare activities, and decision-making power. The process dimension represents how care is delivered, with particular emphasis on the events that occur during diagnosis and treatment (Santry et al., 2020). Process factors include communication, patient safety protocols, and performance improvement measures. Outcomes are the effects of care on patients and populations. Outcome factors include increased patient satisfaction, reduced hospitalizations, and reduced medical expenses.
These dimensions are related since they have a linear connection. An organization with the appropriate structure enables the staff to engage in the recommended medical care processes to achieve favorable outcomes (Salampessy et al., 2021). To a significant extent, as illustrated through the Donabedian Model, these relationships can be trusted to assure the quality of care in the complex, high-tech world of modern medicine. Generally, assessing the structure, process, and outcomes provides a holistic view of an organization’s performance and potential improvement areas. The Donabedian Model has also been a flexible approach to guide healthcare facilities in quality improvement initiatives based on their performance. As healthcare evolves, the assessment should include balancing factors to ensure a comprehensive performance evaluation. These factors include the unintended outcomes of quality improvement processes (Jazieh, 2020). For instance, a hospital can achieve high patient satisfaction (desired outcome) while overloading staff (unintended effect).
References
Jazieh, A. R. (2020). Quality measures: Types, selection, and application in health care quality improvement projects. Global journal on Quality and Safety in Healthcare, 3(4), 144–146. https://doi.org/10.36401/JQSH-20-X6
Salampessy, B. H., Portrait, F. R., van der Hijden, E., Klink, A., & Koolman, X. (2021). On the correlation between outcome indicators and the structure and process indicators used to proxy them in public health care reporting. The European Journal of Health Economics, 22(8), 1239-1251. https://doi.org/10.1007/s10198-021-01333-w
Santry, H. P., Strassels, S. A., Ingraham, A. M., Oslock, W. M., Ricci, K. B., Paredes, A. Z., … & Kiefe, C. I. (2020). Identifying the fundamental structures and processes of care contributing to emergency general surgery quality using a mixed-methods Donabedian approach. BMC Medical Research Methodology, 20, 1-19. https://doi.org/10.1186/s12874-020-01096-7
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For many years, hospital accreditation bodies assumed that if the structural criteria were met, that is, that the physical plant, the qualifications of the staff, and the necessary equipment were in place, the quality of the services would automatically be acceptable. Subsequently, accreditation groups decided that they had also better look at the medical records to see how the services were being provided. They assumed that, if the necessary structure was in place, and the required services were delivered as prescribed, the quality of care would be acceptable. Now, these same accrediting groups find it necessary to look at the outcomes of care as well.
Describe “structure, process, and outcome” in the assessment of the quality of medical care, and provide examples of each dimension.
How are the three dimensions related?
Can these relationships be trusted to assure the quality of care in the complex, high-tech world of modern medicine? If not, why?