Donabedian and the Theoretical Basis of Outcomes Research

Donabedian Theoretical Basis of Outcomes in Research: Objects Evaluation
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Donabedian Theoretical Basis of Outcomes in Research: Objects Evaluation The Donabedian model is an illustration of the process-structure-outcome concept used in the description of health-related research. The primary aim of health-related research has been to improve the outcomes and minimize harm to the patients through a structure of care.
The objects of evaluation in the Donabedian theory have to do with the structure, processes, and the outcomes (Loegering et al., 1994). The structure is meant to cater for the contexts that apply to care provided to the patients while the processes are intended to denote the interpersonal transactions between the practitioners and the patients. Consequently, outcomes relate to these concepts thereby referring to their impacts on health care on given populations. Information and quality levels are then drawn from these categories. More so, improvements come from changes created methods of determining relative safety in the processes and structure in focus. In this way, improvement strategies regarding the procedures of care are ingrained within the structures of the healthcare systems. However, there is a lack of accountability for previous patient conditions before they are included in the system when a comprehensive examination of the outcomes is made. There are ICT interventions meant to influence the forms of nursing care thereby impacting the success rates of patient outcomes.

Conceptualizations in nursing care performance are commonly based on the system’s perspective thus building upon this theory.
Subsequently, health regulations ensure that the collection of standardized information is mandatory which means that there has been a systematic breakdown of the concepts to cater to the safety challenges in medical institutions. There are traditional clinical boundaries often eliminated and replaced with safety cultures whereby patient perspectives are also considered hence an overall improvement in their access to quality healthcare.
Reference
Loegering, L., Reiter, R. C., & Gambone, J. C. (1994). Measuring the quality of health care. Clinical Obstetrics and Gynecology, 37(1), 122–136.