Which of the following is a force for future change in healthcare service delivery?

Rationale:

A. Promotes the use of performance measurements in health care: This answer describes the purpose of quality indicators in general but does not specifically address the macro perspective.

B. Focus on individual services at the point of delivery: This describes the micro perspective, which focuses on specific aspects of care delivery.

C. Reflect the performance of the entire health care delivery system: The macro perspective of quality indicators looks at the overall performance of the entire healthcare system, including factors such as access, effectiveness, and efficiency.

D. Look at the performance of an individual or organization: While this may be a component of quality measurement, it does not encompass the broader view of the macro perspective.

Rationale:

A. Has an organized physician staff: This describes one characteristic of managed care organizations (MCOs), but it does not fully define managed care itself.

B. Managed care is a mechanism of providing health care services: Managed care refers to a system or approach to healthcare delivery that aims to manage and coordinate healthcare services

to improve quality, control costs, and optimize outcomes. It involves mechanisms such as provider networks, utilization management, and financial incentives to achieve these goals.

C. An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions: This describes a hospital rather than managed care.

D. Provide continuous nursing service under RNS: This describes a specific nursing service and is not a comprehensive definition of managed care.