Avedis Donabedian is the most influential thinker on the quality of health care. Through a corpus of articles, books and lectures spanning more than three decades, he has laid the foundations for a deeper understanding of this important area of health systems. His seminal paper of 1966 (1) introduced the concepts of structure, process and outcomes, which remain to our day as the dominant paradi...

Quality control is mandatory, not only for inpatients but also for ambulatory surgery. We propose a list of indices which respond to the key properties of health care that have been defined by Donabedian. These indices should be part of a computerized quality control program which allows comparative evaluation between different centers. © 1998 Elsevier Science B.V. All rights reserved.

BACKGROUND Web-based public health courses are becoming increasingly popular. "Public Health Principles in Disaster and Medical Humanitarian Response" is a unique Web-based course in Hong Kong. This course aimed to fill a public health training gap by reaching out to postgraduates who are unable to access face-to-face learning. OBJECTIVE The aim of this paper was to use a structured framework...

INTRODUCTION To establish a palliative care system (PCS) in Iran, it is necessary to identify the potential barriers. AIM This study aims to highlight the views of stakeholders to know the challenges of providing palliative care for women with breast cancer. MATERIALS AND METHODS Semi-structured in-depth interviews are used with purposeful sampling conducted in Tehran, Iran; from January to...

The effect of Donabedian three-dimensional quality evaluation model is explored for the high-quality nursing during perioperative period endoscopic mucosal dissection in early gastric cancer male patients. Seventy-eight patients were randomly grouped as 39 cases control having received routine care, while intervention group care combined with model. Clinical recovery indicators including anxiet...

To promote health services research in stroke rehabilitation, we gathered information about stroke rehabilitation structures, processes, and outcomes (SPO), using extant databases and the Donabedian theoretical model of health services evaluation. We found that, in the United States, over S3.6 billion was spent by third-party payers in 1992 on rehabilitation, including stroke. Total disability-...

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...