The 'Donabedian model' for assessing healthcare quality classifies measures into three categories. Which of the following is an example of a 'process' measure?
- A Number of hospital beds per 1000 population
- B Proportion of diabetic patients who receive annual retinal screening ✓
- C Hospital standardized mortality ratio
- D Percentage of doctors with postgraduate qualifications
Correct answer: B. Proportion of diabetic patients who receive annual retinal screening
Explanation
Donabedian's model categorizes quality measures as structure (resources, facilities, personnel), process (what is actually done in giving and receiving care), and outcome (effects on health status). Option B describes a process measure: the actual delivery of retinal screening to diabetic patients. Option A and D are structure measures. Option C is an outcome measure.
Reference: Donabedian A, The Quality of Care, JAMA, 1988 / Park's Textbook of Preventive and Social Medicine, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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