The context for the development of scoring systems

Scoring systems have been developed in response to an increasing emphasis on the evaluation and monitoring of health services, including intensive care. The desire for high-quality intensive care

The goal of all those involved in the financing, management, and delivery of intensive care is to provide the highest-quality care with the resources available in order to achieve the best outcomes for patients.

There are three aspects to quality: equity, humanity, and clinical effectiveness. In addition, purchasers and providers of health services seek to achieve these goals in as cost effective a way as possible. Equity can be defined in several ways, but most commonly it addresses whether there is equal use for equal need. Humanity addresses the acceptability of care to patients and relatives, and clinical effectiveness addresses the effect of care on the health of patients. Therefore a quality intensive care service would provide equitable, humane, and effective care as cost effectively as possible.

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