Introduction
According to the Institute of Medicine (IOM), quality is the level to which the services received by individuals as well as all populations of people will likely increase favorable outcomes that coincide with evidence based medicine (Shi, L. & Singh, D. A., (2017). This implies that, performance of quality is measured from below average to above average, the focus is based on services furnished through the healthcare delivery system and does not give regard to individual actions (Shi, L. & Singh, D. A., (2017). The definition of quality also implies that the evaluation of quality from different viewpoints, from both individuals ands well as different populations (Shi, L. & Singh, D. A., (2017). The purpose …show more content…
Accessibility, affordability as well as social and environmental determinants are some important issues that affect the quality of health care (Beal, A.C., 2011). In an article from Health Affairs, the author indicates that biases of women and minorities were partially contributed to physician prejudices (Beal, A.C., 2011). These prejudices ultimately affect the overall health outcomes for patients. The article further elaborates that some of the disparities that create undesirable outcomes, are based on social factors that are beyond the control of health care …show more content…
& Singh, D. A., (2017). Author, Tomas Philipson indicated in his article that physicians contribute poor quality of care on the HMOs (Philipson, T., 2001). Physicians likely feel this way because, HMOs unfortunately have caused many physicians to see a reduction in their incomes (Philipson, T., 2001). No other health care delivery system compares to the popularity of HMOs. Because of the popularity, HMOs may be more desirable, however, the low cost of the care is offset by the low quality of care received (Philipson, T.,