Health Care Quality Improvement and the Ambiguous Commodity of Care.

Szczegóły
Abstrakt

Tytuł:: Health Care Quality Improvement and the Ambiguous Commodity of Care.
Autorzy:: Manelin EB; Department of Anthropology, Harvard University.
Źródło:: Medical anthropology quarterly [Med Anthropol Q] 2020 Sep; Vol. 34 (3), pp. 361-377. Date of Electronic Publication: 2020 Aug 07.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: Malden, MA : John Wiley & Sons Ltd
Original Publication: Washington, D.C. : Society for Medical Anthropology, c1983-
MeSH Terms:: Delivery of Health Care*/economics
Delivery of Health Care*/ethnology
Delivery of Health Care*/organization & administration
Primary Health Care*/economics
Primary Health Care*/organization & administration
Quality Improvement*
Anthropology, Medical ; Humans ; Physician's Role ; Physicians, Primary Care ; United States
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Contributed Indexing:: Keywords: Health care; caregiving; commodities; quality
Entry Date(s):: Date Created: 20200809 Date Completed: 20210302 Latest Revision: 20210302
Update Code:: 20240105
DOI:: 10.1111/maq.12608
PMID:: 32767465
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Quality of care has become a major concern of the U.S.'s health care system in recent decades thanks to an energetic social movement and, more recently, interest from health insurers. Ethnographic research at a primary care clinic engaged in an array of quality improvement efforts revealed that physicians navigate two incommensurable views of quality: one aligned with the metric-oriented quality movement, and the other based on a humanistic vision of their professional role. Against the backdrop of a financialized health care system, these two views represent "differentiated ties" with respect to health care as a commodity. Furthermore, they are used to justify a broad division of labor where support staff and clinic leaders relieve physicians of responsibility for managing, implementing, and reporting quality efforts. These differentiated ties reveal the fundamental ambiguity of health care as a commodity, the resolution of which is a central-albeit implicit-motive of the quality movement.
(© 2020 by the American Anthropological Association.)

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