Quality in Women's Health: Taking Measure of Managed Care
July 23, 1998
Author Elizabeth McGlynn detailed some of the problems in evaluating quality of care: lack of voluntary reporting of data, lack of benchmarks against which to judge performance, variations in access to care, regional differences in standards of care and patient preference.
Author Patricia Venus thought that measures of quality differ widely depending on whose perspective is used to do the measuring. Furthermore, she emphasized the importance of addressing the goals and values of the people served.
Venus went on to state that frequency of health care use should be correlated only to need, but in our current system even low users of the health care system report trouble seeing specialists or getting tests.
Respondent Carol Weisman called attention to the fact that many standard instruments and measurements of satisfaction have been developed without respect for gender issues. She cites the lack of explanation for the variations in plans and models as a major flaw in determining which health plans perform well and which ones do not.
"Quality of Care for Women: Where Are We Now and Where Are We Headed?" Author: Elizabeth McGlynn, PhD, Health Policy Analyst, RAND
"Quality of Care in the Eyes of the Beholder: Perceptions of Women Enrolled in Medicaid Managed Care"
Author: Patricia Venus, MA, Director of Research Programs, Center for Health Care Policy and Evaluation, United Health Care
Joanne Hustead, JD, Director of Legal and Public Policy, National Partnership for Women and Families;
Carol S. Weisman, PhD, Professor, Department of Health Management and Policy School of Public Health, University of Michigan, Co-chair, NCQA Women's Health Measurement Advisory Panel;
Thomas F. Purdon, MD, FACOG, Arizona Health Sciences Center,Vice President, American College of Obstetricians and Gynecologists;
Robin Richman, MD, FACOG, Vice President and Medical Director for Quality Improvement/ Women's Health; Tufts Health Plan