000			02107naa a2200217uu 4500
001			0052715291437
003			OSt
005			20190211172109.0
008			100527s1999 xx ||||gr |0|| 0 eng d
100	1		_aLONG, Andrew F. _940630
245	1	0	_aThe significance of outcomes within european health sector reforms : _btowards the development of an outcomes culture
260			_aNew York : _bMarcel Dekker, _c1999
520	3		_aRecently, policy makers, managers and users of health services have focused their attention on questions about service outcomes and effectiveness. However, the stakeholders in health care-communities, patients, clinicians, insurers, purchasers, managers and policy-makers - may, for various reasons, desire different outcomes to be realised over different timescales. Whilst a focus on outcomes forms a key evaluative criteria within the reforms of European health care systems, the significance of information and the priorities given to outcomes vary across Europe. A central tension lies between the pursuit of individual as opposed to population health gain. Other key issues include the need to separate the evaluation tools from their use and the importance of user choice and user involvement. The article outlines a model of the possible roles and needs for outcomes information. It differentiates between the uses of outcomes information at the patient care and population levels and for considering individual and population health gain. The needs to enhance country-based outcomes databases and to aid the development of an outcomes culture across health care systems in Europe are discussed. The article also discusses issues relating to developing an outcomes culture as an essential element of the health care reform process.
590			_aVolume 22
590			_aNumbers 3-4
700	1		_aJEFFERSON, Jenny _940631
773	0	8	_tInternational Journal of Public Administration - IJPA _g22, 3-4, p. 385-424 _dNew York : Marcel Dekker, 1999 _xISSN 01900692 _w
942			_cS
998			_a20100527 _b1529^b _cDaiane
998			_a20100531 _b1641^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c33638 _d33638
041			_aeng