The oversight of medical care, in the form of peer review, has traditionally been used to ensure that the highest standards of care are maintained.
What is relatively new is the external oversight of medical practice carried out by a growing number of independent entities (government, third-party payers, for-profit firms, for example), overseeing care in uncoordinated ways.
Tensions arise when reviews of utilization and reviews of quality are conducted by different organizations with conflicting goals.
The review instruments are still crude and have neither been adequately tested nor validated.
Future attention to developing reliable and valid measures of efficiency and quality is essential.
Mots-clés Pascal : Etats Unis, Assurance maladie, Organisation santé, Système santé, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : United States, Health insurance, Public health organization, Health system, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0261482
Code Inist : 002B30A07A. Création : 199406.