Defining quality health care with outcomes assessment while achieving economic value.

L. J. Shaw, D. D. Miller

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


The effectiveness of a procedure is increasingly guided by the evaluation of patient outcomes. Outcomes data is used to develop clinical pathways of care and to define appropriate resource-use levels without sacrificing quality of care. Integration of the economic implications of medical services into an outcome-based guideline allows for the development of disease-management strategies. In cardiovascular medicine, risk reduction is associated with high cost due to the "pay-back" of new technologies and therapies. A major challenge is to define a balance between "high tech" care and cost. This paper devises an outpatient evidence-based guideline using clinical and economic outcomes data for the diagnosis of coronary disease.

Original languageEnglish (US)
Pages (from-to)44-54
Number of pages11
JournalTopics in health information management
Issue number3
StatePublished - Feb 2000
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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