Question

Do you agree that care can be both high quality and inefficient? Why or why not ? Y- Distinguish between random and assignable variation . Discuss the relevance of each of these to measuring quality of care and to the design and evaluation of quality improvement initiatives

Answer 1

Yes. Care can be both high quality ,sometimes inefficient.

Quality of health care system is determined by many factors like:

• The competence of health care professionals
• The health care situation
• Altitude and attitude of health care members

Health care should be high quality when:

• Members of health care system work collaboratively to promote the well being of the patient
• Use of available resources to improve the condition of patient
• The deployment of therapeutic communications with patient and harness their confidence by giving reassurance, at the same don't give false assurances
• The health care system, a technologically advanced one without much high out of pocket expenditure
• Does not affect the morale of the patient and the care givers
• Presence of a therapeutic environment

The inefficient health care system when:

• Lack of cooperation and collaboration among various health care professionals
• Lack of professional expertise and competence
• Lack of proper communication among health care members and the patient
• Lack of morale among care providers
• Deficient and outdated health care approach and practice
• Lack of research in the field
• Lack of proper evaluation and audit machinery

Random variation

The variability that is contained in a process that cannot be determined. These fluctuations and variations are caused by erratic and irregular action that are results of random chance. And these random variations cannot be eliminated

Assignable variation

Distribution of non random result caused by a single identifiable factor with clearly defined characteristics. Such a circumstance can be imminently manageable.

Relevance in quality assessment

• Random variations used in the health care setting can be used to assess the variations from standard protocol and aporach but cannot be determined what's the actual variations.
• By using assignable variations, it can be determined the extent of variations from the standard setting and the actual variations and can reduce the variations accordingly.
• This is used in health care setting and assess and audit the health care standard and how extent, it varied from the standard settings.
• This could be a motivation factor to improve the quality care
• It can be applied in mainly in clinical trials and research methodologies