In Donabedian's model of quality assessment in health care, which pairing of dimension and example is CORRECT?

• A Process : case fatality rate among treated patients
• B Structure : patient satisfaction scores after discharge
• C Outcome : adherence to the hospital's antibiotic policy
• D Structure : proportion of nurses trained in infection control ✓

Explanation

Donabedian divides quality into Structure (the resources and attributes of the setting, including staffing and training), Process (what is actually done in giving care) and Outcome (effects on health status). Nurse training is an attribute of the facility, hence structure. Case fatality and satisfaction are outcomes, while antibiotic policy adherence is a process measure, killing options A, C and B respectively.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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