TY - JOUR
T1 - Two faces of patient safety and care quality
T2 - A Franco-American comparison
AU - Degos, Laurent
AU - Rodwin, Victor G.
PY - 2011/7
Y1 - 2011/7
N2 - Patient safety, and more broadly the quality of care, is typically discussed with reference to the reduction of preventable adverse events within hospitals and adherence to practice guidelines on care processes. We call it the care-centered approach and recognize that the United States is a leader in the field. Another face of patient safety and care quality may be defined as the system-centered approach. It focuses on access to a timely and effective continuum of health-care services - clinical prevention, primary care and appropriate referral to and receipt of specialty care. Although France's efforts to pursue a care-centered approach to patient safety are limited, its system-centered approach yields some benefits. Based on the evidence we have reviewed for access to primary care (hospital discharges for avoidable hospital conditions), mortality amenable to medical intervention and consumer satisfaction, in the United States and France, there appear to be good grounds for bolstering the system-centered approach in the United States.
AB - Patient safety, and more broadly the quality of care, is typically discussed with reference to the reduction of preventable adverse events within hospitals and adherence to practice guidelines on care processes. We call it the care-centered approach and recognize that the United States is a leader in the field. Another face of patient safety and care quality may be defined as the system-centered approach. It focuses on access to a timely and effective continuum of health-care services - clinical prevention, primary care and appropriate referral to and receipt of specialty care. Although France's efforts to pursue a care-centered approach to patient safety are limited, its system-centered approach yields some benefits. Based on the evidence we have reviewed for access to primary care (hospital discharges for avoidable hospital conditions), mortality amenable to medical intervention and consumer satisfaction, in the United States and France, there appear to be good grounds for bolstering the system-centered approach in the United States.
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U2 - 10.1017/S1744133111000107
DO - 10.1017/S1744133111000107
M3 - Review article
C2 - 21823247
AN - SCOPUS:79960139694
SN - 1744-1331
VL - 6
SP - 287
EP - 294
JO - Health Economics, Policy and Law
JF - Health Economics, Policy and Law
IS - 3
ER -