Question: Why is quality difficult to define? How do process, structure, and outcomes measures differ? What incentives are there, if any, for individual long - term

Why is quality difficult to define?
How do process, structure, and outcomes measures differ?
What incentives are there, if any, for individual long-term care providers or groups of providers to think in terms of the overall system when focusing on quality?
What disincentives exist in the payment system when it comes to improving quality? How can they be overcome?
 Why is quality difficult to define? How do process, structure, and

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