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Defining quality health care with outcomes assessment while achieving economic value.

Autor(es): Shaw, L J; Miller, D D
Fonte: Top Health Inf Manage;20(3): 44-54, 2000 Feb.
[ PMID: 10747434 ] Idioma: Inglês
Tipo de publicação: Artigo de Revista
The effectiveness of a procedure is increasingly guided by the evaluation of patient outcomes. Outcomes data is used to develop clinical pathways of care and to define appropriate resource-use levels without sacrificing quality of care. Integration of the economic implications of medical services into an outcome-based guideline allows for the development of disease-management strategies. In cardiovascular medicine, risk reduction is associated with high cost due to the "pay-back" of new technologies and therapies. A major challenge is to define a balance between "high tech" care and cost. This paper devises an outpatient evidence-based guideline using clinical and economic outcomes data for the diagnosis of coronary disease.