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Envisioning the National Health Care Quality Report
How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care.
Functional Status Measurement in Primary Care
The assessment of outcomes of medical interventions is a central concern of patients, physicians, nurses, and of individuals, groups and government agencies who pay for medical care. Outcome assessments are incomplete without measurements of functional status. Functional Status Measurement in Primary Care provides an indepth discussion of psychometric issues as applied to functional status assessment and details the practical experience of Family Physicians/General Practitioners in several countries with functional status measurements in their patient populations. International experience with the use of the Darthmouth COOP Charts is described along with their practical application in the daily practice of physicians and nurses of ambulatory patients.
