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The concept of the Iron Triangle of Health Care was first introduced in William Kissick’s book, Medicine’s Dilemmas: Infinite Needs Versus Finite Resources in 1994, describing three competing health care issues: access, quality, and cost containment. [1] [2] Each of the vertices represents identical priorities. Increasing or decreasing one ...
Unwarranted variations in medical practice refer to the differences in care that cannot be explained by the illness/medical need or by patient preferences. The term “unwarranted variations” was first coined by Dr. John Wennberg when he observed small area (geographic) and practice style variations, which were not based on clinical rationale. [5]
Outcome contains all the effects of healthcare on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and health-related quality of life. Outcomes are sometimes seen as the most important indicators of quality because improving patient health status is the primary goal of healthcare.
In recognition of a growing consensus that there is an ethical imperative for health care professionals to share important decisions with patients, several countries in Europe, North America [68] and Australia have formally recognized shared decision-making in their health policies and regulatory frameworks. [69]
The five control knobs for health-sector reform. In "Getting Health Reform Right: A Guide to Improving Performance and Equity," [2] Marc Roberts, William Hsiao, Peter Berman, and Michael Reich of the Harvard T.H. Chan School of Public Health aim to provide decision-makers with tools and frameworks for health care system reform.
A category for management and organisational (rather than purely economic or transactional) issues in health care, particularly those arising close to the front-line of healthcare delivery. The main article for this category is Healthcare administration .
Collaborative care is a related healthcare philosophy and movement that has many names, models, and definitions that often includes the provision of mental-health, behavioral-health and substance-use services in primary care. Common derivatives of the name collaborative care include integrated care, primary care behavioral health, integrated ...
Other key areas of work for the Commission include National Health Service accreditation, recognizing and responding to clinical deterioration, patient centered care, safety and quality in mental health and primary care and the development of national safety and quality indicators as part of the information strategies activity.