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Policy issues associated with analyzing outcomes of care
K R Jones1, B M Jennings, P Moritz
1University of Michigan, Ann Arbor, USA.
Summary
This study differentiates outcomes management and outcomes research, highlighting limited nurse involvement in current U.S. initiatives. Recommendations are provided to increase nursing participation in quality health care assessment.
Area of Science:
- Health Services Research
- Nursing Policy
- Quality Improvement
Background:
- Outcomes studies are crucial for evaluating healthcare effectiveness.
- Numerous outcomes initiatives exist across institutional, national, and international levels in the U.S.
- Nursing engagement in these initiatives has been notably limited despite the breadth of outcomes studied.
Purpose of the Study:
- To differentiate outcomes management from outcomes research.
- To examine the policy questions surrounding outcomes studies.
- To identify challenges and recommend strategies for increasing nursing involvement in quality assessment.
Main Methods:
- Review of policy questions related to outcomes studies.
- Analysis of current outcomes initiatives in the United States.
- Expert panel discussion by the American Academy of Nursing on quality health care.
Main Results:
- Outcomes management and outcomes research are distinct but related fields.
- A wide array of outcomes are being examined in ongoing initiatives.
- Nurses have had minimal participation in these significant quality improvement efforts.
Conclusions:
- There is a need to clarify the distinct roles of outcomes management and outcomes research.
- Nursing's limited involvement poses a barrier to comprehensive quality assessment.
- Increased nurse participation is essential for advancing quality health care initiatives and policy.