Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1981 Jul;71(7):687–693. doi: 10.2105/ajph.71.7.687

Quality Assessment by Process and Outcome Methods: Evaluation of Emergency Room Care of Asthmatic Adults

Susan Mates, Victor W Sidel
PMCID: PMC1619775  PMID: 7246834

Abstract

Weighted process criteria based on chart review and weighted outcome criteria based on telephone interview were used to assess the quality of care for adult patients with asthma in the emergency rooms of a municipal and a voluntary hospital which share medical personnel. Process scores were highly correlated with 24-hour outcome scores at both hospitals but not with 7-day outcome scores. Our findings suggest that appropriate weighted process and outcome criteria are valid and useful methods for quality assessment, and underline the importance of choice of an appropriate “time window” for assessment of outcome. In addition, these assessment methods provide important “feedback” information for those providing care in the emergency room. (Am J Public Health 1981;71:687-693)

Full text

PDF
688

Selected References

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

  1. Banner A. S., Shah R. S., Addington W. W. Rapid prediction of need for hospitalization in acute asthma. JAMA. 1976 Mar 29;235(13):1337–1338. [PubMed] [Google Scholar]
  2. Donabedian A. The quality of medical care. Science. 1978 May 26;200(4344):856–864. doi: 10.1126/science.417400. [DOI] [PubMed] [Google Scholar]
  3. Hulka B. S., Romm F. J., Parkerson G. R., Jr, Russell I. T., Clapp N. E., Johnson F. S. Peer review in ambulatory care: use of explicit criteria and implicit judgments. Med Care. 1979 Mar;17(3 Suppl):i-vi, 1-73. [PubMed] [Google Scholar]
  4. Lyons T. F., Payne B. C. The quality of physicians' health-care performance. A comparison against optimal criteria for treatment of the elderly and younger adults in community hospitals. JAMA. 1974 Feb 25;227(8):925–928. doi: 10.1001/jama.227.8.925. [DOI] [PubMed] [Google Scholar]
  5. 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]
  6. Mushlin A. I., Appel F. A. Testing an outcome-based quality assurance strategy in primary care. Med Care. 1980 May;18(5 Suppl):1–100. [PubMed] [Google Scholar]
  7. Nobrega F. T., Morrow G. W., Smoldt R. K., Offord K. P. Quality assessment in hypertension: analysis of process and outcome methods. N Engl J Med. 1977 Jan 20;296(3):145–148. doi: 10.1056/NEJM197701202960305. [DOI] [PubMed] [Google Scholar]
  8. Rubenstein L., Mates S., Sidel V. W. Quality-of-care assessment by process and outcome scoring. Use of weighted algorithmic assessment criteria for evaluation of emergency room care of women with symptoms of urinary tract infection. Ann Intern Med. 1977 May;86(5):617–625. doi: 10.7326/0003-4819-86-5-617. [DOI] [PubMed] [Google Scholar]
  9. Williamson J. W., Braswell H. R., Horn S. D., Lohmeyer S. Priority setting in quality assurance: reliability of staff judgments in medical institutions. Med Care. 1978 Nov;16(11):931–940. doi: 10.1097/00005650-197811000-00003. [DOI] [PubMed] [Google Scholar]
  10. Williamson J. W., Braswell H. R., Horn S. D. Validity of medical staff judgments in establishing quality assurance priorities. Med Care. 1979 Apr;17(4):331–346. doi: 10.1097/00005650-197904000-00002. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES