Quality of Care for Women

Quality of Care for Women

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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 women. Each chapter summarizes the results of the literature review for a particular condition, provides RAND staff's recommended indicators based on that review, and lists the cited studies. In addition, this work details the process by which the expert panelevaluated the indicators and the final disposition of each indicator. Clinical conditions covered in this volume are: Acne, alcohol dependence, allergic rhinitis, asthma, breast mass, cesarean delivery, cigarette use counseling, depression, diabetes mellitus, family planning/contraception, headache, hypertension, acute low back pain, prenatal care, preterm labor-cortisosteroids for fetal maturation, preventive care, upper respiratoryinfections, urinary tract infection, vaginitis and sexually transmitted diseases. Other RAND Health titles on the QA Tools system focus on indicators for general medicine, oncology and HIV, cardiopulmonary conditions, and care of children and adolescents.... approach to summarizing the key literature on acne in adolescents and adult women was to review two adolescent health text books (Vernon and Lane, 1992 ... Forty percent of children between the ages of 8 and 10 develop early acne lesions, and eventually 85 percent of adolescents develop some ... It is estimated that 40 to 50 percent of adult women are affected by a low-grade persistent form of acne (Nguyen et al., 1994). ... accounting for 16.6 percent of all visits (Nelson, 1994) .

Title:Quality of Care for Women
Author: Elizabeth A. McGlynn, Rand Corporation
Publisher:Rand Corporation - 2000

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