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Values and evaluation in health care.

A Sarvimäki¹, S S Benkö

¹Research Director, Kuntokallio Center for Gerontological Training and Research, Helsinki, Finland and Adjunct Professor, The Nordic School of Public Health, Gothenburg, Sweden.

Journal of Nursing Management

|March 7, 2002

Summary

This study re-examines healthcare quality and evaluation by exploring the influence of scientific, aesthetic, ethical, and economic values. Understanding these values is crucial for guiding healthcare practices and improving patient care outcomes.

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Area of Science:

Health Services Research
Healthcare Management
Medical Ethics

Background:

The concepts of quality and evaluation in healthcare are often ill-defined and present challenges in their practical application.
The relationship between healthcare quality and associated costs is frequently complex and difficult to ascertain.
Existing frameworks for healthcare evaluation may not fully capture the multifaceted nature of care delivery.

Purpose of the Study:

To broaden the perspective on healthcare evaluation by critically examining the concepts of quality and evaluation.
To integrate a discussion of values into the understanding of healthcare quality and evaluation processes.
To explore how different categories of values influence healthcare practices and outcomes.

Main Methods:

Conceptual analysis of 'quality' and 'evaluation' in the healthcare context.
Exploration of the role of values in shaping healthcare practices and decision-making.
Categorization of values into scientific, aesthetic, ethical, and economic dimensions.

Main Results:

The concept of quality in healthcare is frequently ambiguous or contradictory, complicating its measurement and assessment.
The interplay between healthcare quality and economic factors is often problematic and requires careful consideration.
Values, encompassing scientific, aesthetic, ethical, and economic aspects, fundamentally underpin and direct the entire healthcare process.
Both explicit and implicit values shape the culture of care and influence individual actions within healthcare systems.

Conclusions:

The proposed framework, utilizing four categories of values, offers a novel approach to understanding the drivers of healthcare.
These value categories can be applied to analyze and understand the actual values guiding healthcare processes in real-world settings.
A deeper understanding of the role of values is essential for improving the quality and effectiveness of healthcare delivery.