Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Quality assurance through external controls.

B C Vladeck

    Inquiry : a Journal of Medical Care Organization, Provision and Financing
    |January 1, 1988
    PubMed
    Summary
    This summary is machine-generated.

    US healthcare quality concerns result in complex external controls, driven by a decentralized system and legal culture. Shifting focus to internal quality assurance processes could yield better patient care outcomes.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Receipt of the award.

    Bulletin of the New York Academy of Medicine·2009
    Same author

    You can't get there from here: obstacles to improving care of the chronically ill.

    Health affairs (Project Hope)·2002
    Same author

    The storm before the calm before the storm. Medicare home care in the wake of the Balanced Budget Act.

    Care management journals : Journal of case management ; The journal of long term home health care·2001
    Same author

    Learn nothing, forget nothing--the Medicare Commission redux.

    The New England journal of medicine·2001
    Same author

    Approaches to eliminating sociocultural disparities in health.

    Health care financing review·2001
    Same author

    Medicare. Can its benefits be sustained as cost of coverage grows?

    Geriatrics·2001
    Same journal

    Research Trends in Medical Teachers' Digital Literacy: A Bibliometric Analysis.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Fundamental Values in Nursing Care: The Person's Perspective.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Network Analysis of Healthcare Worker Burnout: Organizational Factors Show Highest Centrality.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Corrigendum to: "A Systematic Review on the Effectiveness of the Cure Violence Approach".

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Nurse Influencers: The Digital Performance of Care, Professional Identity, and the Commodification of Empathy-An Integrative Narrative Review.

    Inquiry : a journal of medical care organization, provision and financing·2026
    See all related articles

    Area of Science:

    • Health Services Research
    • Healthcare Quality Improvement
    • Public Health Policy

    Background:

    • Growing concerns regarding healthcare quality in the U.S. have spurred extensive, complex external controls.
    • These controls are more pervasive than in other global healthcare systems.
    • The decentralized nature of the U.S. healthcare system and its adversarial legal framework contribute to this complexity.

    Purpose of the Study:

    • To analyze the reasons behind the extensive external controls in U.S. healthcare quality assurance.
    • To propose an alternative approach for improving healthcare quality assurance processes.
    • To explore the potential benefits of shifting focus to internal quality assurance mechanisms.

    Main Methods:

    • Conceptual analysis of the U.S. healthcare system's structure and legal influences.

    Related Experiment Videos

  • Critique of current external quality control mechanisms.
  • Theoretical proposal for a revised quality assurance framework.

    • Main Results:

    • Current external controls prioritize quantifiable, often secondary, aspects of care, measuring minimal acceptability.
    • The U.S. legal system's adversarial nature influences the focus of quality control measures.
    • Decentralization exacerbates the complexity and intrusiveness of external oversight.

    Conclusions:

    • External controls in U.S. healthcare are overly complex due to system structure and legal orientation.
    • A more effective approach may involve external oversight of internal quality assurance processes.
    • This shift could lead to a quality assurance system addressing more central, subjective dimensions of healthcare.