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Medicare: New Directions in Quality Assurance Proceedings (1991)

Chapter: Part 8: New Directions: The Research, Training, and Capacity Building Agendas

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Suggested Citation:"Part 8: New Directions: The Research, Training, and Capacity Building Agendas." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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PART VIII
New Directions: The Research, Training, and Capacity Building Agendas

Suggested Citation:"Part 8: New Directions: The Research, Training, and Capacity Building Agendas." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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This page in the original is blank.
Suggested Citation:"Part 8: New Directions: The Research, Training, and Capacity Building Agendas." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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New Directions: The Research, Training, and Capacity Building Agendas

Introduction

Edward B. Perrin

The Institute of Medicine (IOM) committee report includes two recommendations that are aimed at increasing and broadening support for the research and training activities necessary for achieving the objectives of the quality assessment and assurance program outlined by the committee. One (Recommendation No. 8) suggests that Congress should direct the Secretary of the Department of Health and Human Services (DHHS) to support, expand, and improve research in the effectiveness and outcome of care and to support a systematic effort to develop clinical practice guidelines and standards of care. The other (Recommendation No. 9) recommends that Congress direct the Secretary of DHHS to establish and fund educational activities designed to enhance the nation's capacity to improve the quality of care. In the papers that follow, we consider more closely the nature of the research, training, and capacity building agendas needed to support the quality assurance program under Medicare.

Harold Luft, professor of economics at the University of California, San Francisco and its Institute for Health Policy Studies, first presents the IOM committee's views about the need for movement in these areas and the directions that such movement might take. Sheldon Greenfield, Senior Scientist, The New England Medical Center, and Edward W. Hook, Physician-in-Chief, University of Virginia Hospital, then offer their outside observations and responses to, respectively, the issues of research and capacity building.

Suggested Citation:"Part 8: New Directions: The Research, Training, and Capacity Building Agendas." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×
Page 127
Suggested Citation:"Part 8: New Directions: The Research, Training, and Capacity Building Agendas." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×
Page 128
Suggested Citation:"Part 8: New Directions: The Research, Training, and Capacity Building Agendas." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×
Page 129
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Medicare: New Directions in Quality Assurance Proceedings Get This Book
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This book contains chapters and commentaries by members of the Institute of Medicine (IOM) committee and by outstanding practitioners, researchers, legislators, and policymakers about the IOM's proposals for new directions in quality assurance as specified in Medicare: A Strategy for Quality Assurance, Volumes 1 and 2.

Sections of this new book address ideas about how to move toward increasing professionalism, implementing orgranization and system-focused quality improvement, better decision making by patients and clinicians, patient outcomes orientation, and public accountability and program evaluation. Other sections explore research questions and capacity building in the field of quality assessment and improvement, the epidemiology and quality problems, and legal issues in quality assessment.

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