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182:, and cultural preferences in health care. The summation of his efforts is found in his trilogy, Explorations in quality assessment and monitoring (1980–85), a massive work of personal scholarship and analytical thought brought to bear on every aspect of health care provision. Here he suggests seven pillars of quality: efficacy, efficiency, optimality, acceptability, legitimacy, equity, and cost.
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Donabedian A. Explorations in quality assessment and monitoring. Vol. I. The definition of quality and approaches to its assessment, 1980; Vol. II. The criteria and standards of quality, 1982; Vol. III. The methods and findings of quality assessment and monitoring: an illustrated analysis. Ann Arbor:
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His personal philosophy is perhaps best summed up in his statement, “Systems awareness and systems design are important for health professionals, but are not enough. They are enabling mechanisms only. It is the ethical dimension of individuals that is essential to a system’s success. Ultimately, the
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Donabedian had a wife, Dorothy
Salibian, and three sons. In the preface to his final large book, The Methods and Findings of Quality Assessment and Monitoring (1985), he regrets that “for all these years, my wife and children suffered the inevitable deprivations caused by my constant labors… Home is
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in 1948, he moved to the
American University of Beirut where he occupied a number of teaching positions and became medical officer to the whole university. He became aware of his limitations as an administrator and developed a growing interest in the quality of health provision and in public health.
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as it appeared through the 1950s and early 1960s and presented his findings in a lengthy paper in 1966 with the title “Evaluating the
Quality of Medical Care”. This summation and analysis brought him immediate fame and is still widely cited and read: it was reprinted by The
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in health services. He strove to define every aspect of quality in health systems and proposed models for its measurement in over 100 papers and 11 books. These include access to health care, completeness and accuracy in
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Donabedian received the degree of BA in 1940 and MD in 1944 and subsequently worked at the
English Mission Hospital in Jerusalem, making a brief trip to England. As local war broke out over the
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Much of his subsequent work was a detailed exposition of the concepts and methods required to examine these fundamental aspects of health care. He was an early exponent of
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Interview: A Founder of
Quality Assessment Encounters A Troubled System Firsthand Fitzhugh Mullan Health Aff January 2001 20:1137-141; doi:10.1377/hlthaff.20.1.137
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Avedis
Donabedian was born in Beirut, Lebanon, in an Armenian family from Western Armenia. Although the rest of his parents' families perished from the
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due to political unrest, he received sponsorship to stay in the USA with his wife and children. He became a non-clinical teacher and researcher at
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in 2005. In it he sets out the necessity of examining the quality of health provision in the aspects of structure, process and outcome.
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the aged wanderer they scarcely know, sitting by the domestic hearth, dozing into sleep.” By this time he already had a diagnosis of
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He wrote personal poetry all his life, but none of it was published, save for two pamphlets originally given to his close friends.
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84:(7 January 1919 – 9 November 2000) was a physician and founder of the study of quality in health care and medical
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An opportunity arose to study epidemiology and health services administration at
229:"History of Health Services Research Project: Interview with Avedis Donabedian"
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from 1957 to 1961, when he was recruited by the School of Public Health at the
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DONABEDIAN, AVEDIS (2005-11-09). "Evaluating the
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260:"Avedis Donabedian: father of quality assurance and poet"
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153:Donabedian collated the growing literature of
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326:"Quality and Safety (registration required)"
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69:Learn how and when to remove this message
32:This article includes a list of general
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195:. He died peacefully at his home in
38:it lacks sufficient corresponding
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88:, most famously as a creator of
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258:Best, M; Neuhauser, D (2004).
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110:American University of Beirut
203:secret of quality is love.”
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231:. Nlm.nih.gov. 1998-04-16
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53:more precise citations.
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126:partition of Palestine
411:(4). Wiley: 691–729.
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210:References
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197:Ann Arbor
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