The Seen and the Unseen

In Quality We Trust; but Quality of Life or Quality of Care?

“…In 1997, the National Kidney Foundation selected quality‐of‐care indicators as it developed the Dialysis Outcomes Quality Initiative (DOQI). Clinical guidelines are playing an expanding role in a clinical care environment that is increasingly benchmarked and standardized . Guidelines have classically used incorporation of physician‐centered objective measures rather than patient satisfaction measures, although it is now recognized that the latter may improve patient adherence and therefore have a vital impact on treatment outcomes .…”