Figure 4.6. Factors That Affect Disease Process and Outcome Measures (Text Description)

Flow chart showing factors which affect Quality of Care measures, divided into two categories; Difficult-to-Change Factors and Feasible-to-Change Factors.

Difficult-to-Change Factors:

• Patient Risk of Disease;
  • Biological.
  • Socioeconomic.
• External Environment;
  • Disease prevalence.
  • Health care system.

Feasible-to-Change Factors:

• Patient Ability to Self-Manage;
  • Behavior
  • Knowledge
  • Compliance
• Patient Ability to Self-Manage;
  • Incentives
  • Knowledge
  • Educational tools
  • Referral networks
• External Environment;
  • Access to care
  • Health care resources
  • Government resources
  • Government leadership
  • QI programs

Quality of Care:

• Process Measures.
• Outcome Measures.

Source: Calculated from Behavioral Risk Factor Surveillance System (BRFSS) 2003 data.

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