Viewing Health Care Delivery as Science: Challenges, Benefits, and Policy Implications
- 2 August 2010
- journal article
- Published by Wiley in Health Services Research
- Vol. 45 (5p2), 1508-1522
- https://doi.org/10.1111/j.1475-6773.2010.01144.x
Abstract
The need for health services research is likely to rise rapidly as the population ages, health care costs soar, and therapeutic and diagnostic choices proliferate. Building an effective and efficient health care delivery system is a national priority. Yet the national health care quality report concludes that we lack the ability to monitor progress toward even basic quality and patient safety goals effectively. The gap between the need to improve and our ability to do so exists in part because we fail to view the delivery of health care as science, we lack national improvement priorities, and we lack a national infrastructure to achieve our stated goals. We discuss key challenges implicit in correcting these failures and recommend actions to expedite progress.Keywords
This publication has 31 references indexed in Scilit:
- Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitalsBMJ, 2009
- Framework for Patient Safety Research and ImprovementCirculation, 2009
- Pay-for-PerformanceJAMA, 2007
- An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICUNew England Journal of Medicine, 2006
- Paying for Performance — Risks and RecommendationsNew England Journal of Medicine, 2006
- Assessing Patient Safety CultureJournal of Patient Safety, 2006
- How will we know patients are safer? An organization-wide approach to measuring and improving safetyCritical Care Medicine, 2006
- Creating High Reliability in Health Care OrganizationsHealth Services Research, 2006
- Measuring patient safety climate: a review of surveysQuality and Safety in Health Care, 2005
- The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’Health Affairs, 2004