摘要: Outcome measurement-a central concept of quality care-has both conceptual appeal and limitations as a practical assessment tool. The degree to which outcomes can be directly related processes care continues especially problematic. I view the continued debate about whether or are preferable measure fundamentally unproductive, because needed. To strengthen our understanding measures in ascertaining care, suggest that work four areas is needed: more definitive evidence process outcome linkages; stronger relationships between technology assessment; improved reliability validity screening tools; development health status measures.