PubMed · 5033548
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J F Schneider. 1972-07-27. Useful work for specialists.. https://doi.org/10.1056/nejm197207272870437
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The Hospital Committee of the European Union has redefined the role of the hospital within a changing society. In future the hospital will be dedicated to a clear vision of public health and will constitute part of a network of integrated care. From a bed-focused enterprise it will become a health centre providing all services requisite for the care of acute, psychiatric and chronically ill patients, whether stationary, as outpatients or in daycare. This center will be distinguished from other care services by its operative technical resources and by its highly motivated and well-trained staff.
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Health care services are being evaluated and redefined. Terms such as "medically necessary" and "comprehensive" are being supplanted by "core", "basic" and "optional." Quality-of-care concepts and analysis can assist decision making about which services should be insured, core services. A service is more likely to remain or become insured, and core to the system if it satisfies the key dimensions of high quality: effectiveness, appropriateness, efficiency, patient acceptance and safety. Quality of care, combined with ethical and economic considerations, provides an analytic framework for deciding whether services should be insured.