Skip to main content
Health Services Research logoLink to Health Services Research
. 1982 Summer;17(2):157–183.

Quality Assurance Through Reimbursement

Peter W Shaughnessy 1,2,3,4, Bettina Kurowski 1,2,3,4
PMCID: PMC1068672  PMID: 6807939

Abstract

Quality assurance and reimbursement programs normally function separately in the health care field. This paper reviews objectives and certain conceptual issues associated with each type of program. Its primary intent is to summarize substantive and operational topics which must be addressed if quality of care is to be enhanced through reimbursement. The focus is on methods for integrating quality assurance and reimbursement. The final section presents topics for future research.

Full text

PDF
158

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brook R. H. Studies of process-outcome correlations in medical care evaluations. Med Care. 1979 Aug;17(8):868–873. doi: 10.1097/00005650-197908000-00009. [DOI] [PubMed] [Google Scholar]
  2. Chow R. K. Development of a patient appraisal and care evaluation system for long-term care. J Long Term Care Adm. 1977 Summer;5(2):21–27. [PubMed] [Google Scholar]
  3. Cleverley W. O. Evaluation of alternative payment strategies for hospitals: a conceptual approach. Inquiry. 1979 Summer;16(2):108–118. [PubMed] [Google Scholar]
  4. Dowling W. L. Prospective reimbursement of hospitals. Inquiry. 1974 Sep;11(3):163–180. [PubMed] [Google Scholar]
  5. Gertman P. M., Monheit A. C., Anderson J. J., Eagle J. B., Levenson D. K. Utilization review in the United States: results from a 1976-1977 national survey of hospitals. Med Care. 1979 Aug;17(8 Suppl):i-iii, 1-148. [PubMed] [Google Scholar]
  6. Goran M. J. The evolution of the PSRO hospital review system. Med Care. 1979 May;17(5 Suppl):1–47. doi: 10.1097/00005650-197905001-00002. [DOI] [PubMed] [Google Scholar]
  7. Granger C. V., Sherwood C. C., Greer D. S. Functional status measures in a comprehensive stroke care program. Arch Phys Med Rehabil. 1977 Dec;58(12):555–561. [PubMed] [Google Scholar]
  8. Gustafson D. H., Fiss C. J., Jr, Fryback J. C., Smelser P. A., Hiles M. E. The Wisconsin system: quality of care in nursing homes. J Am Health Care Assoc. 1980 Sep;6(5):3-4, 6-12. [PubMed] [Google Scholar]
  9. McAuliffe W. E. Studies of process--outcome correlations in medical care evaluations: a critique. Med Care. 1978 Nov;16(11):907–930. doi: 10.1097/00005650-197811000-00002. [DOI] [PubMed] [Google Scholar]
  10. ROSENFELD L. S. Quality of medical care in hospitals. Am J Public Health Nations Health. 1957 Jul;47(7):856–865. doi: 10.2105/ajph.47.7.856. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Winn S. Analysis of selected characteristics of a matched sample of nonprofit and proprietary nursing homes in the state of Washington. Med Care. 1974 Mar;12(3):221–228. doi: 10.1097/00005650-197403000-00004. [DOI] [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES