1)Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care

1)Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  What are the other dimensions of quality care and why are they important?  What has changed since the days when it was assumed that “doctors knew best?”

2. Describe what is meant by “structure, process, and outcome” in assessing of the quality of medical care. Give some examples of each dimension. How are the three dimensions related?
3. Contrast the definitions of implicit and explicit criteria in assessing health care quality. How is each type of criterion more or less useful in health care quality assessment?

Chapter 13 

1. Many physicians are educated in tax-supported medical schools and earn large proportions of their income from government subsidized programs.  Do you believe that physicians should be required to recognize and respond to a broader social mission than only caring for patients who can afford their services?  Does your response suggest anything about the culture of medicine and value systems of individuals selected for medical school admission?

2. Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?

3. What is your opinion about employers continuing to be the primary vehicle through which Americans obtain health insurance?  Is this a fair proposition for employers?  Provide a rationale for your response.