Cover image for Quality of care for general medical conditions : a review of the literature and quality indicators
Quality of care for general medical conditions : a review of the literature and quality indicators
Kerr, Eve A.
Publication Information:
Santa Monica, CA : Rand, 2000.
Physical Description:
xviii, 479 pages ; 28 cm.
General Note:
"MR-1280-AHRQ" -- back cover.

"Supported by the Agency for Healthcare Research and Quality."
Preface -- Contents -- Tables -- Figures -- Acknowledgements -- Introduction -- 1. Acne -- 2. Alcohol dependence -- 3. Allergic rhinitis -- 4. Benign prostatic hyperplasia (BPH) -- 5. Cataracts -- 6. Cholelithiasis -- 7. Dementia -- 8. Depression -- 9. Diabetes mellitus -- 10. Hormone replacement therapy -- 11. Headache -- 12. Hip fracture -- 13. Hysterectomy -- 14. Inguinal hernia -- 15. Low back pain (acute) -- 16. Orthopedic conditions -- 17. Osteoarthritis treatment -- 18. Dyspepsia and peptic ulcer disease -- 19. Preventive care -- 20. Vaginitis and sexually transmitted diseases -- 21. Urinary tract infection -- 22. Vertigo and dizziness -- Appendix A: Panel rating summary by condition -- Appendix B: Crosswalk table of original and final indicators.
Reading Level:
1410 Lexile.
Added Author:
Format :


Call Number
Material Type
Home Location
Item Holds
RA399.A3 Q344 2000 Adult Non-Fiction Central Closed Stacks-Oversize

On Order



This report is one of five volumes providing detailed information on the QA Tools, RAND's comprehensive, clinically based system for assessing quality of care for children and adults. The QA Tools indicators encompass screening, diagnosis, treatment, and follow-up in 46 clinical areas and cover a variety of modes of providing care, including history,physical examination, laboratory study, medication, and other interventions and contacts.Development of each indicator was based on the ratings of a panel of experts in the relevant fields and on a focused review of the scientific literature, which is clearly documented for each clinical condition. This volume focuses on indicators for care of general medical conditions. Each chapter summarizes the results of the literature review for a particular condition, provides RAND staff's recommended indicators based on that review, and notes the level of scientific evidence supporting each indicator along with the relevant citations. In addition, this work details the process by which the expert panel evaluated the indicators and the final disposition of each indicator. Clinical conditions covered in this volume are: Acne, alcohol dependence, allergic rhinitis, benign prostatic hyperplasia,cataracts, cholelithiasis, dementia, depression, diabetes mellitus, hormone replacement therapy, headache, hip fracture, hysterectomy, inguinal hernia, acute low back pain, orthopedic conditions. Other RAND Health titles on the QA Tools system focus on indicators for children and adolescents, oncology and HIV, cardiopulmonary conditions, and women.

Table of Contents

Prefacep. iii
Tablesp. xiii
Figuresp. xv
Acknowledgementsp. xvii
Introductionp. 1
Referencesp. 26
1 Acnep. 29
Referencesp. 34
Recommended Quality Indicators for Acnep. 35
2 Alcohol Dependencep. 37
Referencesp. 43
Recommended Quality Indicators for Alcohol Dependencep. 45
3 Allergic Rhinitisp. 49
Referencesp. 52
Recommended Quality Indicators for Allergic Rhinitisp. 53
4 Benign Prostatic Hyperplasia (bph)p. 55
Referencesp. 63
Recommended Quality Indicators for Benign Prostatic Hyperplasia (bph)p. 65
5 Cataractsp. 69
Referencesp. 78
Recommended Quality Indicators for Cataractsp. 81
6 Cholelithiasisp. 85
Referencesp. 90
Recommended Quality Indicators for Cholelithiasisp. 91
7 Dementiap. 93
Referencesp. 105
Recommended Quality Indicators for Dementiap. 109
8 Depressionp. 115
Referencesp. 123
Recommended Quality Indicators for Depressionp. 125
9 Diabetes Mellitusp. 129
Referencesp. 137
Recommended Quality Indicators for Diabetes Mellitusp. 141
10 Hormone Replacement Therapyp. 145
Referencesp. 149
Recommended Quality Indicators for Hormone Replacement Therapyp. 150
11 Headachep. 151
Referencesp. 156
Recommended Quality Indicators for Headachep. 158
12 Hip Fracturep. 163
Referencesp. 174
Recommended Quality Indicators for Hip Fracturep. 179
13 Hysterectomyp. 183
Referencesp. 190
Recommended Quality Indicators for Hysterectomyp. 191
14 Inguinal Herniap. 193
Referencesp. 203
Recommended Quality Indicators for Inguinal Herniap. 205
15 Low Back Pain (acute)p. 207
Referencesp. 216
Recommended Quality Indicators for Low Back Pain (acute)p. 221
16 Orthopedic Conditionsp. 225
Referencesp. 240
Recommended Quality Indicators for Orthopedic Conditionsp. 243
17 Osteoarthritis Treatmentp. 247
Referencesp. 255
Recommended Quality Indicators for Osteoarthritisp. 260
18 Dyspepsia and Peptic Ulcer Diseasep. 263
Referencesp. 280
Recommended Quality Indicators for Dyspepsia and Peptic Ulcer Diseasep. 284
19 Preventive Carep. 291
Referencesp. 311
Recommended Quality Indicators for Preventive Carep. 314
20 Vaginitis and Sexually Transmitted Diseasesp. 323
Referencesp. 341
Recommended Quality Indicators for Vaginitis and Sexually Transmitted Diseasesp. 343
21 Urinary Tract Infectionp. 349
Referencesp. 355
Recommended Quality Indicators for Urinary Tract Infectionsp. 358
22 Vertigo and Dizzinessp. 363
Referencesp. 382
Recommended Quality Indicators for Vertigo and Dizzinessp. 386
Appendix A Panel Rating Summary by Conditionp. 391
Appendix B Crosswalk Table of Original and Final Indicatorsp. 429