The end of the quality improvement movement: long live improving value.

摘要

THE MODERN ACADEMIC QUALITY IMPROVEMENT movement began more than 40 years ago with a series of articles that highlighted substantial deficiencies in the way care was provided.1 In response, multiple efforts to improve quality were launched. Medical processes that affected patients' health were identified. Methods of measuring how well the processes were performed in day-to-day practice were developed, and many suggestions were made regarding how the processes could be performed better and care improved.