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Medical Care Research and Review
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Assessing the Relationship between Quality of Care and the Characteristics of Health Care Organizations

R. Adams Dudley

University of California, San Francisco

Bruce E. Landon

Harvard Medical School

Haya R. Rubin

Johns Hopkins University

Nancy L. Keating

Harvard Medical School

Carol A. Medlin

University of California, San Francisco

Harold S. Luft

University of California, San Francisco

In the past two decades, relationships among health plans, medical groups, and providers have grown more complex and the number of clinical management strategies has increased. In this context, determining the independent effect of a particular organizational strategy on quality of care has become more difficult. The authors review some of the issues a researcher must address when studying the relationship between organizational characteristics and quality of care. They offer criteria for selecting a research question, list organizational characteristics that may influence quality, and suggest sampling and study design techniques to reduce confounding. Since this type of research often requires a health care organization as collaborator, the authors discuss strategies for developing research partnerships and collecting data from the partner organization. Finally, they offer suggestions for translating research into policy.

Medical Care Research and Review, Vol. 57, No. 3 suppl, 116-135 (2000)
DOI: 10.1177/1077558700573007
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