Intro. to HSR: Case 2. The End-Stage Renal Disease Program: Quality Issues

National Information Center on Health Services Research and Health Care Technology (NICHSR)

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	Case 1: Health Disparities Research Case Description Background Objectives Exercise
	Case 2: The End-Stage Renal Disease Program: Quality Issues Description Background Objectives Exercise
	Case 3: Medicare Reimbursement Reforms Description Background Objectives Exercise
	Case 4: Bioterrorism -- Community Preparedness Description Background Objectives Exercise
	Case 5: HIV/AIDS, the AIDS Drug Assistance Program Description Background Objectives Exercise

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Introduction to Health Services Research : A Self-Study Course

Case Description | Case Background | Case Objectives | Case Exercise

Case 2. The End-Stage Renal Disease Program: Quality Issues (Page 9 of 34)

Phase One: Thinking About the Issues

Q3a. What are the quality of care and quality of life issues you might be concerned with?

Suggested Solution

As noted in the History section, Donabedian describes quality as encompassing the structure of the health care setting, the process of health care, and the patient's outcomes.

In the ESRD context, structure includes the characteristics of the dialysis setting, its practitioners, and the patients.
Process involves the treatment choices and the delivery of care.
Outcome includes morbidity, mortality, and rehabilitation of the patient.

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