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suring the Quality of Health Care, and Collaboration Among Competing Managed Care Organizations for Quality Improvement.

Ensuring the Quality of Cancer Care

The National Cancer Policy Board undertook a comprehensive review of the quality of cancer care provided in the United States. The report, published in June 1999, delineates essential elements needed to improve quality in cancer care. The report provides an overview of the present cancer care system, moving from detection and early treatment to care at the end of life. Major obstacles impeding patient access to quality cancer care are identified. The report offers a model of an ideal cancer care delivery system and provides examples of the problems that limit early detection, accurate diagnosis, optimal treatment, and responsive supportive care. Recommendations to improve the quality of cancer care are offered for consideration by Congress, public and private health care purchasers, individual consumers, providers and researchers.

Improving Quality in Long-Term Care

The Committee on Improving Quality in Long-Term Care was convened to examine the means for assessing, overseeing, and improving the quality of long-term care in different settings and the practical and policy challenges of achieving a consistent quality of care regardless of where care is received. This study built on a 1986 report, Improving the Quality of Care in Nursing Homes, which initiated changes that significantly altered where long-term care is received and by whom. The most recent study examines the full range of long-term care settings and services, including nursing homes, assisted living facilities, and community-based home health care.

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