Quality Assurance: A Comprehensive National Strategy for Health Care is Needed
GENERAL ACCOUNTING OFFICE WASHINGTON DC PROGRAM EVALUATION AND METHODOLOGY DIV
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To patients, getting better that is, the outcome of care is probably the primary concern. In addition, having access to care that is affordable, conveniently available, and provided in a manner that respects their concerns and preferences is important. The responsiveness of the delivery system may also be important-for example, meeting patients individual needs for emergency care, coordinating services, and making appropriate referrals. Health care providers may emphasize the decision-making process that underlies diagnosis and treatment, the clinical content of care, and the technical skill with which is rendered. Purchasers may place greater weight on questions of cost-effectiveness, including the need for individual diagnostic and therapeutic services, the appropriateness of the setting in which care is delivered, and the frequency, timing, and duration of services.
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