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Article
October 9, 1987

Assuring the Quality of Health Care for Older Persons: An Expert Panel's Priorities

Author Affiliations

The Quality Assurance Panel
From the Department of Medicine, UCLA School of Medicine (Drs Fink, Siu, Brook, and Solomon), The Rand Corp (Dr Park), and Fink and Kosecoff Inc (Dr Fink), Santa Monica, Calif.

The Quality Assurance Panel
From the Department of Medicine, UCLA School of Medicine (Drs Fink, Siu, Brook, and Solomon), The Rand Corp (Dr Park), and Fink and Kosecoff Inc (Dr Fink), Santa Monica, Calif.

JAMA. 1987;258(14):1905-1908. doi:10.1001/jama.1987.03400140067026
Abstract

To select topics for quality assurance activities focusing on older patients, we convened a 14-member panel of physicians and experts in quality assurance. In two rounds of ratings, panelists rated 42 medical conditions (eg, pneumonia) in terms of their effects on patient outcomes, the availability of beneficial interventions, and the health benefits from improving current quality. They rated 27 health services (eg, adult day-care) on similar dimensions. The feasibility of doing quality assurance work on each condition and service also was rated. Using the ratings, the conditions selected for quality assurance work were congestive heart failure, hypertension, pneumonia, breast cancer, adverse effects of drugs, incontinence, and depression. Health care services selected were hospital discharge planning, acute inpatient care for the frail elderly, long-term—care facilities (intermediate-care facilities and skilled nursing facilities), home health care services, and case management.

(JAMA 1987;258:1905-1908)

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