Measurement ofhealth care outcomes has become the contemporary philosophers' stone for public health researchers, managers, and politicians alike. Each group recognises that the rational use of scarce resources depends on measuring the effectiveness of different procedures and programmes of care. 1 This point was clearly made by Cochrane in 19722 and there has since been increasing interest in ...

OBJECTIVES This article describes a unifying conceptual framework for the public health system as a way to facilitate the measurement of public health system performance. METHODS A conceptual framework for the public health system was developed on the basis of the work of Donabedian and a conceptual model previously developed by Bernard Turnock and Arden Handler. RESULTS The conceptual fram...

Objetivos. Propor e verificar a aplicabilidade de um modelo para avaliar o cuidado nutricional à criança menor cinco anos na Estratégia Saúde da Família. Metodologia. O desenvolvimento do baseou-se análise implantação uma intervenção proposta avaliativa serviços saúde Donabedian. desenvolvido foi aplicado em 24 equipes dois municípios Estado Paraíba. Resultados. construído contempla parâmetros ...

Despite there being a considerable number of meta-analyses and reviews synthesizing the nurse in-home visiting literature, there have been no reviews examining nurse in-home visiting for patients who are already disabled. This article presents a literature review and synthesis of 10 trials targeted on older adults with disability. The review is organized into structure and process components re...

OBJECTIVE to evaluate the use of Standard Operational Protocols (SOPs) in the professional practice of the nursing team based on the theoretical framework of Donabedian, as well as to identify the weaknesses and potentialities from its implementation. METHOD Evaluative research, with quantitative approach performed with nursing professionals working in the Health Units of a city of São Paulo,...

La calidad de atención emergencias se ha convertido en un tema interés, dada la transcendencia que tiene por ser el primer punto contacto entre población y una institución salud, para acceder forma urgente a recibir atención. Objetivo: determinar los factores influyen del servicio emergencia hospital tercer nivel ciudad Quito, periodo septiembre- noviembre año 2019. Metodología: estudio cuantit...

Some definitions of need for health care as a basis of planning health services are discussed. A model proposed by Donabedian (1974) relating need to resources is used to consider the problems faced by the Resource Allocation Working Party (RAWP) (Department of Health and Social Security, 1976). The paper concludes that need should be defined in relation to the procedures available to meet it a...

The objective of this study was to understand the perception of a multidisciplinary health team regarding the implementation of a quality management took at a teaching hospital. The setting of this qualitative study was the University Hospital at University of São Paulo (HU-USP). Participants were seven workers from the Committee for the Implementation of the 5S Program. Data collection was per...

Julio Frenk, M.D., M.P.H., Ph.D. is Director-General, National Institute of Public Health of Mexico; Enrique Ruelas, M.D., M.P.A., M.Sc. is Dean, School of Public Health of Mexico, National Institute of Public Health; and Avedis Donabedian, M.D., M.P.H. is Nathan Sinai Distinguished Professor of Public Health, Department of Health Services Management and Policy, School of Public Health, The Uni...