The topics below group and provide links to publications authored by Mayo Clinic experts in the areas of patient experience, quality, value and other topics relevant to the science of health care delivery.
The links return citations from PubMed, a service of the National Library of Medicine. PubMed comprises references and abstracts from MEDLINE, life science journals and online books.
- Delivery of health care
- The concept concerned with all aspects of providing and distributing health services to a patient population — whether across a practice, in nontraditional clinical settings such as school or work, in a community, or across communities.
- Health disparities among minority and vulnerable populations
- Preventable differences in the burden of disease, injury, violence or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.
- Health knowledge, attitudes and practice
- Knowledge, attitudes and associated behaviors that pertain to health-related topics such as pathologic processes or diseases, their prevention, and their treatment.
- Health services accessibility
- The degree to which individuals are inhibited or facilitated in their ability to gain entry to and receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportation and financial considerations, among others.
- Patient acceptance of health care
- The seeking and acceptance by patients of health services.
- Patient-centered care
- Design of patient care in which institutional resources and personnel are organized around patients rather than around specialized departments.
- Patient satisfaction
- The degree to which the individual regards the health care service or product, or the manner in which it is delivered by the provider, as useful, effective or beneficial.
- Physician-patient relations
- The interactions between physician and patient.
- Health care quality, access and evaluation
- The concept concerned with all aspects of the quality, accessibility and appraisal of health care and health care delivery.
- Quality assurance — health care
- Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care, identification of problems or shortcomings in the delivery of care, designing activities to overcome these deficiencies, and follow-up monitoring to ensure effectiveness of corrective steps.
- Quality improvement
- The attainment — or process of attaining — a new level of performance or quality.
- Quality indicators — health care
- Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
- Quality of health care
- The levels of excellence that characterize the health service or health care provided based on accepted standards of quality.
Several subcategories of quality within health care are of particular interest and linked here separately for ease of review:
- Surgical outcomes research
- Building evidence to inform the practice of surgery and improve its safety, efficiency and quality as well as the experiences of patients undergoing surgery.
- Evidence-based medicine
- An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnoses, devise the best testing plans, and choose the best treatments and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease.
- Health care costs
- The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies and medications. It is differentiated from health expenditures, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
- Health care economics and organizations
- The economic aspects of health care, health care planning and health care delivery. It includes government agencies and organizations in the private sector.
- Organizational efficiency
- The capacity of an organization, institution or business to produce desired results with a minimum expenditure of energy, time, money, personnel, material, and so on.
- Outcome and process assessment in health care
- Evaluation procedures that focus on both the outcome or status (outcomes assessment) of the patient at the end of an episode of care, such as presence of symptoms, level of activity and mortality, and the process (assessment, process) — what is done for the patient diagnostically and therapeutically.
- Primary health care
- Care that provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.
Science of health care delivery
- Artificial intelligence
- Artificial intelligence (AI) is a branch of computer science which attempts to emulate human problem-solving skills. Also called cognitive computing, AI includes concepts such as machine learning — including deep learning and natural language processing, which are especially relevant to health care.
- Clinical decision support systems
- Computer-based programs that analyze data within a patient's electronic health record, providing prompts or reminders to assist health care providers in implementing individualized, evidence-based care.
- Clinical informatics
- Leveraging information technology to improve health and health care delivery; structuring and analyzing data for optimal retrieval and application.
- Community health services
- Organizations and services that increase access to primary care and reduce barriers to access, including cost, insurance or resident status, rurality, and language.
- Continuity of patient care
- Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
- Health care evaluation mechanisms
- Health care evaluation is the critical assessment, through rigorous processes, of an aspect of health care to assess whether it fulfills its objectives. Within health care, one can assess effectiveness, efficiency, acceptability of the experience and equity.
- Health services research
- The integration of epidemiologic, sociological, economic and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output and outcome.
- Health status indicators
- The measurement of the health status for a given population using a variety of indexes, including morbidity, mortality and available health resources.
- Knowledge and information management
- Capturing, cataloging and distributing knowledge and information. Leveraging data effectively to generate new knowledge, including optimizing integration into or with the electronic medical record.
- Natural language processing
- A component of artificial intelligence, natural language processing allows researchers to analyze and extract meaningful data from narrative text or other unstructured data fields within the electronic health record.
- Patient care management
- The concept concerned with all aspects of providing and distributing health services to a patient population.
- Rochester Epidemiology Project
- The Rochester Epidemiology Project (REP) is a unique population health resource and long-established collaborative initiative originating in Olmsted County, Minnesota. It now includes linked medical record data from patients across 27 counties in Minnesota and Wisconsin.
- Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.
- Workload is the demand placed on individuals for their physical capabilities and mental resources. This area of study contributes to knowledge about workplace safety, ergonomics, burnout, service volume and other health care workload topics.