There is an interesting commentary in JAMA this week. The money quote:“So more than 40 years after the birth of the quality improvement movement, there is still not much known about what has been accomplished.”
The author, Robert Brook, argues for embracing the business case for quality, and for developing a new “epidemiology of value”,
“…which contains both measurement of cost and quality, and is applicable to both the developed and developing world. The results of this work would help to distinguish between a level of quality that is a good value and the best available quality that may produce small improvements in health at enormous cost.”
Eli, as our house economist, has a better grasp of what it takes to build a business case for quality…I should let him take it from here…
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