HLTB15H3 Chapter 1: Chapter 1
Document Summary
Chapter 1 investigating health services and health: the scope of research. Health service outcomes are the effects of health services on patients health (i. e. health gain) as well as patients evaluations of their health care. Donabedian defined health outcome as a change as a result of antecedent health care. This definition excludes the maintenance of patients in a stable condition, which can also be a valid aim of treatment. Also excludes many health promotion and prevention activities. Outcome refers to the effectiveness of the activities in relation to the achievement of the intended goal. In relation to social care, and long-term health care, the objective is to measure what difference this made to the recipient s life in the broadest sense. Lohr defined outcome in relation to death, disease, disability, discomfort and dissatisfaction (five d s). He argued that measurement instruments should focus on these concepts.
