Health Care Analysis 14 (2):123-132 (2006)
AbstractThe expressions ‘high quality care’ and ‘low quality care’ are cognitive and linguistic artefacts that help to structure people’s lives and thinking; for example, moves are now afoot internationally to pay bonuses to health professionals for delivering high quality care. United States programmes, most conspicuously, are assuming that high quality care can be validly distinguished from low quality care, and incentivised through bonuses. This distinction is always at least implicit, for high quality care has no meaning without low quality care. Through a ‘deconstructionist reading,’ this article discusses limitations of categorising the quality of care as either high or low. The limitations of this ‘binary opposition’ can include a lack of defining attributes; vagueness and fuzziness at the ‘boundaries’ between high quality care and low quality care; concealment of quality as a continuum; and use of the binary opposition to effect social order and control. Health policy implications of our analysis are discussed. Drawing upon the general medical services contract in the United Kingdom, we suggest an approach to overcoming the oversimplification and imprecision that categorisation tends to produce
Similar books and articles
Automated classification of psychotherapy note text: implications for quality assessment in PTSD care.Brian Shiner, Leonard W. D'Avolio, Thien M. Nguyen, Maha H. Zayed, Bradley V. Watts & Louis Fiore - 2012 - Journal of Evaluation in Clinical Practice 18 (3):698-701.
Defining quality of care persuasively.Maya J. Goldenberg - 2012 - Theoretical Medicine and Bioethics 33 (4):243-261.
Unpacking the Meaning of Quality in Quebec’s Health-care System: The Input of Commissions of Inquiry. [REVIEW]Oscar E. Firbank - 2008 - Health Care Analysis 16 (4):375-396.
The Meaning of Quality in Health Care: A Conceptual Analysis.P. P. M. Harteloh - 2003 - Health Care Analysis 11 (3):259-267.
Quality of life is a process not an outcome.Leah McClimans & John P. Browne - 2012 - Theoretical Medicine and Bioethics 33 (4):279-292.
Quality of care: the need for medical, contextual and policy evidence in primary care.Mieke L. van Driel, An I. De Sutter, Thierry C. M. Christiaens & Jan M. De Maeseneer - 2005 - Journal of Evaluation in Clinical Practice 11 (5):417-429.
Emotional and Motivational Tendencies: the key to quality nursing care?S. Glen - 1998 - Nursing Ethics 5 (1):36-42.
The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines Domain 8: Ethical and Legal Aspects of Care.H. Colby William, John Lantos Constance Dahlin & Myra Christopher John Carney - 2010 - HEC Forum 22 (2):117-131.
Framing Reflexivity in Quality Improvement Devices in the Care for Older People.Esther Loon & Teun Zuiderent-Jerak - 2012 - Health Care Analysis 20 (2):119-138.
Framing reflexivity in quality improvement devices in the care for older people.Esther van Loon & Teun Zuiderent-Jerak - 2012 - Health Care Analysis 20 (2):119-138.
Effectiveness of internal quality assurance programmes in improving clinical practice and reducing costs.Juan J. Gascón Cánovas, Pedro J. Saturno Hernández & Jose J. Antón Botella - 2009 - Journal of Evaluation in Clinical Practice 15 (5):813-819.
Quality end‐of‐life care.Kerry W. Bowman, Douglas K. Martin & Peter A. Singer - 2000 - Journal of Evaluation in Clinical Practice 6 (1):51-61.
Where should we draw the line between quality of care and other ethical concerns related to medical registries and biobanks?Mats Hansson - 2012 - Theoretical Medicine and Bioethics 33 (4):313-323.
Added to PP
Historical graph of downloads
Citations of this work
Individualized population care: linking personal care to population care in general practice.Stephen Buetow, Linn Getz & Peter Adams - 2008 - Journal of Evaluation in Clinical Practice 14 (5):761-766.
References found in this work
Philosophical Investigations.Ludwig Josef Johann Wittgenstein - 1953 - New York, NY, USA: Wiley-Blackwell.
Course in General Linguistics.Ferdinand De Saussure, Charles Bally, Albert Sechehaye, Albert Riedlinger & Roy Harris - 1987 - Tijdschrift Voor Filosofie 49 (1):125-127.
Principles of categorization.Eleanor Rosch - 1988 - In Allan Collins & Edward E. Smith (eds.), Readings in Cognitive Science, a Perspective From Psychology and Artificial Intelligence. Morgan Kaufmann Publishers. pp. 312-22.
Seven characteristics of medical evidence.Ross E. G. Upshur - 2000 - Journal of Evaluation in Clinical Practice 6 (2):93-97.
Why the need to reduce medical errors is not obvious.Stephen Buetow - 2005 - Journal of Evaluation in Clinical Practice 11 (1):53-57.