Epidemiology and health services administration: future relationships in practice and education.
Milbank Mem Fund Q Health Soc, 1978;56(3):253-73.
PMID: 100719
Abstract
Florence Nightingale's mid-nineteenth century proposals for standard classification of diseases were a model for assessing quality of hospital care. A century later, health planning, management, and evaluation are still in pursuit of her unrealized--and imperfect--objectives. Historical, statistical, and epidemiological limitations to linking the cost and outcome of treating patients and populations are examined; an integrated model is offered for operational rapprochement between medical and administrative services.
MeSH terms
Aged; Connecticut; Cost-Benefit Analysis; Disease; Epidemiology; History, 19th Century; Hospital Administration; Hospital Administrators; Humans; Length of Stay; Male; Medicare; Models, Theoretical; Outcome and Process Assessment, Health Care; Prostatic Neoplasms
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