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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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

  • Tables

  • Figures

  • Acknowledgements

    Acknowledgments

  • Introduction

  • Chapter 1

    Acne

  • Chapter 2

    Alcohol Dependence

  • Chapter 3

    Allrgic Rhinitis

  • Chapter 4

    Asthma

  • Chapter 5

    Breast Mass

  • Chapter 6

    Cesarean Delivery

  • Chapter 7

    Cigarette Use Counseling

  • Chapter 8

    Depression

  • Chapter 9

    Diabetes Mellitus

  • Chapter 10

    Family Planning/Contraception

  • Chapter 11

    Headache

  • Chapter 12

    Hypertension

  • Chapter 13

    Low Back Pain (Acute)

  • Chapter 14

    Prenatal Care

  • Chapter 15

    Preterm Labor, Corticosteroids for Fetal Maturation

  • Chapter 16

    Preventive Care

  • Chapter 17

    Upper Respiratory Infections

  • Chapter 18

    Urinary Tract Infections

  • Chapter 19

    Vaginitis and Sexually Transmitted Diseases, Diagnosis and Treatment

  • Appendix A

    Definitions for Indicator Tables

  • Appendix B

    Panel Ratings Sheets by Condition

  • Appendix C

    Crosswalk Table of Original and Final Indicators

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.

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