Encyclopedia of Gerontology and Population Aging

Living Edition
| Editors: Danan Gu, Matthew E. Dupre

Quality of Care

  • Daniel W. L. LaiEmail author
  • Xiaoting Ou
  • Gabrielle D. Daoust
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-69892-2_852-1



The World Health Organization (WHO 2019) defines quality of care as “the extent to which health care services provided to individuals and patient populations improve desired health outcomes.” Quality of care can broadly be understood as referring to the extent to which a person’s care-related needs are addressed (Cohen-Mansfield et al. 2018), although different definitions of quality of care have been advanced, focusing on specific service-related aspects as well as social dimensions of care. Quality of care has also been measured in previous studies using more precise definitions. Some studies have defined quality of care in terms of the likelihood of receiving specific forms of care (Katz et al. 2018) or in terms of relationships between care providers and patients, reflecting both health-related and social dimensions of care...

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  1. Antonsson H, Korjonen S, Rosengren K (2012) First-line managers’ experiences of alternative modes of funding in elderly care in Sweden. J Nurs Manag 20(6):737–747CrossRefGoogle Scholar
  2. Arah O, Westert G, Hurst J, Klazinga N (2006) A conceptual framework for the OECD health care quality indicators project. Int J Qual Health Care 18(Suppl 1):5–13CrossRefGoogle Scholar
  3. Askari M, Wierenga P, Eslami S, Medlock S, De Rooij S, Abu-Hanna A (2011) Assessing quality of care of elderly patients using the ACOVE quality indicator set: a systematic review. PLoS One 6(12):E28631CrossRefGoogle Scholar
  4. Berglund H, Wilhelmson K, Blomberg S, Dunér A, Kjellgren K, Hasson H (2013) Older people’s views of quality of care: a randomised controlled study of continuum of care. J Clin Nurs 22(19–20):2934–2944CrossRefGoogle Scholar
  5. Bristow RE, Powell MA, Al-Hammadi N, Chen L, Miller JP, Roland PY et al (2013) Disparities in ovarian cancer care quality and survival according to race and socioeconomic status. JNCI: J Natl Cancer Inst 105(11):823–832CrossRefGoogle Scholar
  6. Cohen-Mansfield J, Sela AH, Iecovich E, Golander H (2018) Quality of care for frail older persons in a homecare setting: what is it and how can it be measured? Int Psychogeriatr 30(9):1259–1267CrossRefGoogle Scholar
  7. Donabedian A, Bashshur R (2003) An introduction to quality assurance in health care. Oxford University Press, New YorkGoogle Scholar
  8. Duhoux A, Fournier L, Gauvin L, Roberge P (2012) Quality of care for major depression and its determinants: a multilevel analysis. BMC Psychiatry 12(1):142CrossRefGoogle Scholar
  9. Forbes-Thompson S, Gessert C (2005) End of life in nursing homes: connections between structure, process, and outcomes. J Palliat Med 8(3):545–555CrossRefGoogle Scholar
  10. Fralich J, Bratesman S (2004) Quality indicators for home and community-based services. University of Southern Maine, Edmund S. Muskie School of Public Service, Institute for Health Policy, Portland. Retrieved from: https://digitalcommons.usm.maine.edu/cgi/viewcontent.cgi?article=1073&context=agingGoogle Scholar
  11. Fralich J, Gray C, Olsen L, Ziller J (2005) Quality indicators for home and community-based services in Maine. Institute for Health Policy Edmund S. Muskie School of Public Service, Portland. Retrieved from: http://www.nasuad.org/sites/nasuad/files/hcbs/files/82/4053/HCBS(10_31).pdfGoogle Scholar
  12. Gnavi R, Costa G, Picariello R, Giorda C, La Karaghiosoff L (2009) Determinants of quality in diabetes care process the population-based Torino study. Diabetes Care 32(11):1986–1992CrossRefGoogle Scholar
  13. Hutchinson A, Milke D, Maisey S, Johnson C, Squires J, Teare G, Estabrooks C (2010) The resident assessment instrument-minimum data set 2.0 quality indicators: a systematic review. BMC Health Serv Res 10:166CrossRefGoogle Scholar
  14. Joling KJ, Van Eenoo L, Vetrano DL, Smaardijk VR, Declercq A, Onder G et al (2018) Quality indicators for community care for older people: a systematic review. PLoS One 13(1):e0190298CrossRefGoogle Scholar
  15. Kajonius P, Kazemi A (2016) Structure and process quality as predictors of satisfaction with elderly care. Health Soc Care Community 24(6):699–707CrossRefGoogle Scholar
  16. Kapoor P (2011) Why quality in healthcare. Med J Armed Forces India 67(3):206–208CrossRefGoogle Scholar
  17. Katz A, Chateau D, Enns JE, Valdivia J, Taylor C, Walld R, McCulloch S (2018) Association of the social determinants of health with quality of primary care. Ann Fam Med 16(3):217–224CrossRefGoogle Scholar
  18. Kricke G (2017) The association between multiple chronic conditions, domains of end-of-life care quality, care coordination, and the perception of high quality end-of-life care for older adults. Doctoral dissertation, Northwestern UniversityGoogle Scholar
  19. Lanting LC, Joung IM, Mackenbach JP, Lamberts SW, Bootsma AH (2005) Ethnic differences in mortality, end-stage complications, and quality of care among diabetic patients: a review. Diabetes Care 28(9):2280–2288CrossRefGoogle Scholar
  20. Lazarevik V, Kasapinov B (2015) Predictors of patients’ satisfaction with health care services in three Balkan countries (Macedonia, Bulgaria and Serbia): a cross country survey. Acta Inform Med 23(1):53–56CrossRefGoogle Scholar
  21. Lorenz K, Rosenfeld K, Wenger N (2007) Quality indicators for palliative and end-of-life care in vulnerable elders. J Am Geriatr Soc 55(Suppl 2):S318–S326CrossRefGoogle Scholar
  22. Luherne M (2013) The European quality framework for long-term care services. Revista De Cultura Y Pensamiento Europeos, Pliegos De Yuste, pp 59–62Google Scholar
  23. Luker JA, Wall K, Bernhardt J, Edwards I, Grimmer-Somers KA (2011) Patients’ age as a determinant of care received following acute stroke: a systematic review. BMC Health Serv Res 11(1):161CrossRefGoogle Scholar
  24. Mead, Bower (2000) Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 51(7):1087–1110CrossRefGoogle Scholar
  25. Min LC, Reuben DB, Adams J, Shekelle PG, Ganz DA, Roth CP, Wenger NS (2011) Does better quality of care for falls and urinary incontinence result in better participant-reported outcomes? J Am Geriatr Soc 59(8):1435–1443CrossRefGoogle Scholar
  26. Mosadeghrad A (2012) A conceptual framework for quality of care. Mater Socio-Med 24(4):251–261CrossRefGoogle Scholar
  27. Pornet B-M, Lecomte E, Romon F et al (2011) Trends in the quality of care for elderly people with type 2 diabetes: the need for improvements in safety and quality (the 2001 and 2007 ENTRED surveys). Diabetes Metab 37(2):152–161CrossRefGoogle Scholar
  28. Rahman A, Applebaum R (2009) The nursing home minimum data set assessment instrument: manifest functions and unintended consequences—past, present, and future. The Gerontologist 49(6):727–735CrossRefGoogle Scholar
  29. Ramsaran-Fowdar R (2005) Identifying health care quality attributes. J Health Hum Serv Adm 27(4):428–443Google Scholar
  30. Reeves M, Gargano J, Maier K, Broderick J, Frankel M, LaBresh K et al (2010) Patient-level and hospital-level determinants of the quality of acute stroke care: a multilevel modeling approach. Stroke 41(12):2924–2931CrossRefGoogle Scholar
  31. Shippee TP, Henning-Smith C, Kane RL, Lewis T (2013) Resident-and facility-level predictors of quality of life in long-term care. The Gerontologist 55(4):643–655CrossRefGoogle Scholar
  32. Stone MA, Charpentier G, Doggen K, Kuss O, Lindblad U, Kellner C et al (2013) Quality of care of people with type 2 diabetes in eight European countries: findings from the guideline adherence to enhance care (GUIDANCE) study. Diabetes Care 36(9):2628–2638CrossRefGoogle Scholar
  33. Wachterman M, Pilver C, Smith D, Ersek M, Lipsitz S, Keating N (2016) Quality of end-of-life care provided to patients with different serious illnesses. JAMA Intern Med 176(8):1095–1102CrossRefGoogle Scholar
  34. WeDO Project (2012) European quality framework for long-term care services: principles and guidelines for the wellbeing and dignity of older people in need of care and assistance. AGE Platform Europe, Brussels. Retrieved from https://www.age-platform.eu/sites/default/files/EU_Quality_Framework_for_LTC-EN_0.pdfGoogle Scholar
  35. Wenger NS, Shekelle PG (2001) Assessing care of vulnerable elders: ACOVE project overview. (quality indicators for assessing care of vulnerable elders). Ann Intern Med 135(8):642–646CrossRefGoogle Scholar
  36. Wenger N, Roth C, Shekelle P (2007) Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set. J Am Geriatr Soc 55:S247–S252CrossRefGoogle Scholar
  37. Williams JS, Bishu KG, Germain AS, Egede LE (2017) Trends in sex differences in the receipt of quality of care indicators among adults with diabetes: United States 2002–2011. BMC Endocr Disord 17(1):31CrossRefGoogle Scholar
  38. World Health Organization (2019) What is quality of care and why is it important? Retrieved from https://www.who.int/maternal_child_adolescent/topics/quality-of-care/definition/en/

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Daniel W. L. Lai
    • 1
    Email author
  • Xiaoting Ou
    • 1
  • Gabrielle D. Daoust
    • 2
  1. 1.Department of Applied Social SciencesThe Hong Kong Polytechnic UniversityHong KongHong Kong
  2. 2.Department of International RelationsThe University of SussexSussexUK

Section editors and affiliations

  • Xue Bai
    • 1
  1. 1.Department of Applied Social SciencesThe Hong Kong Polytechnic UniversityHong KongChina