SUMMARY

This chapter has commented on the structure, process, and outcomes variables important to a full conceptualization of quality of care; it has also briefly discussed different types of quality assurance or improvement programs that can be mounted externally by regulatory agencies or by private voluntary entities, as well as those that can be implemented by provider organizations themselves. Given the original legislation's emphasis on the appropriateness, effectiveness, and adequacy of existing quality-of-care strategies in the home and community-based context, the committee has also offered its ideas on how these aspects of quality improvement programs might be considered and assessed. These points lay the groundwork for the conceptual framework, empirical questions, and recommendations about a further study that are taken up in Chapter 4.



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