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A Framework and Action Agenda for Quality Improvement in Rural Health Care
Author(s) -
Calico Forrest W.,
Dillard Carole D.,
Moscovice Ira,
Wakefield Mary K.
Publication year - 2003
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.2003.tb00567.x
Subject(s) - quality (philosophy) , workforce , business , incentive , health care , agency (philosophy) , mainstream , rural area , quality management , rural health , public relations , nursing , economic growth , medicine , political science , marketing , sociology , economics , social science , philosophy , epistemology , pathology , service (business) , law , microeconomics
Purpose : The Agency for Healthcare Research and Quality and the federal Office of Rural Health Policy collaborated to convene an expert group to address issues of quality improvement in the rural health care environment Outcomes : The group identified issues, barriers, and opportunities related to bringing rural health care into the mainstream of the national quality “revolution.” A framework for rural quality and specific action steps was proposed. Recommendations were made in the areas of workforce, organizational performance, measurement, dissemination of innovation, and external factors impacting quality. Specific recommendations included fostering development of rural consortia, relevant quality measures for the rural environment, technical assistance capacity, appropriate financial incentives, leadership capacity, and databases