Cover: Quality of Care for Women

Quality of Care for Women

A Review of Selected Clinical Conditions and Quality Indicators

Edited by Elizabeth A. McGlynn, Eve A. Kerr, Cheryl L. Damberg, Steven M. Asch

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Abstract

This report is one of five volumes providing detailed information on the QA Tools, RAND's comprehensive, clinically based system for assessing quality of care for children and adults. The QA Tools indicators encompass screening, diagnosis, treatment, and follow-up in 46 clinical areas and cover a variety of modes of providing care, including history, physical examination, laboratory study, medication, and other interventions and contacts.Development of each indicator was based on the ratings of a panel of experts in the relevant fields and on a focused review of the scientific literature, which is clearly documented for each clinical condition. This volume focuses on indicators for care of women. Each chapter summarizes the results of the literature review for a particular condition, provides RAND staff's recommended indicators based on that review, and lists the cited studies. In addition, this work details the process by which the expert panel evaluated the indicators and the final disposition of each indicator. Clinical conditions covered in this volume are: Acne, alcohol dependence, allergic rhinitis, asthma, breast mass, cesarean delivery, cigarette use counseling, depression, diabetes mellitus, family planning/contraception, headache, hypertension, acute low back pain, prenatal care, preterm labor-cortisosteroids for fetal maturation, preventive care, upper respiratory infections, urinary tract infection, vaginitis and sexually transmitted diseases. Other RAND Health titles on the QA Tools system focus on indicators for general medicine, oncology and HIV, cardiopulmonary conditions, and care of children and adolescents.

Table of Contents

  • Preface PDF

  • Tables PDF

  • Figures PDF

  • Acknowledgements

    Acknowledgments PDF

  • Introduction PDF

  • Chapter 1

    Acne PDF

  • Chapter 2

    Alcohol Dependence PDF

  • Chapter 3

    Allrgic Rhinitis PDF

  • Chapter 4

    Asthma PDF

  • Chapter 5

    Breast Mass PDF

  • Chapter 6

    Cesarean Delivery PDF

  • Chapter 7

    Cigarette Use Counseling PDF

  • Chapter 8

    Depression PDF

  • Chapter 9

    Diabetes Mellitus PDF

  • Chapter 10

    Family Planning/Contraception PDF

  • Chapter 11

    Headache PDF

  • Chapter 12

    Hypertension PDF

  • Chapter 13

    Low Back Pain (Acute) PDF

  • Chapter 14

    Prenatal Care PDF

  • Chapter 15

    Preterm Labor, Corticosteroids for Fetal Maturation PDF

  • Chapter 16

    Preventive Care PDF

  • Chapter 17

    Upper Respiratory Infections PDF

  • Chapter 18

    Urinary Tract Infections PDF

  • Chapter 19

    Vaginitis and Sexually Transmitted Diseases, Diagnosis and Treatment PDF

  • Appendix A

    Definitions for Indicator Tables PDF

  • Appendix B

    Panel Ratings Sheets by Condition PDF

  • Appendix C

    Crosswalk Table of Original and Final Indicators PDF

Research conducted by

The study was conducted within RAND Health and supported by the Health Care Financing Administration, U.S. Department of Health and Human Services.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.