Lohr K N, Harris-Wehling J
Institute of Medicine, National Academy of Sciences, Washington, DC.
QRB Qual Rev Bull. 1991 Jan;17(1):6-9. doi: 10.1016/s0097-5990(16)30413-4.
The first of a series of articles on the Institute of Medicine study on a quality review and assurance program for Medicare, this article reviews the findings, conclusions, and recommendations of the IOM study committee and discusses the quality-of-care definition, which became a focal point for the report. A QA system should achieve a balance among important dimensions of "quality of care;" several such dimensions were identified. Turning the definition into practical measurement and intervention approaches and implementing a QA strategy based on it remain significant challenges.
