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Performance Measurement for Surgery at National Level in China.

Tianyi Zhang1, Qian Zhuang1, Wei Liu1

  • 1Department of Medical Innovation and Research Institution of Hospital Management, Chinese PLA General Hospital Beijing China.

Health Care Science
|April 27, 2026
PubMed
Summary
This summary is machine-generated.

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China

Area of Science:

  • Healthcare Quality Improvement
  • Surgical Performance Measurement
  • Health Policy Analysis

Background:

  • Systematic evaluation of surgical performance measures in China is lacking.
  • This study addresses the need to assess national-level surgical care performance in China.
  • Identifying gaps and opportunities in surgical performance measurement is crucial.

Purpose of the Study:

  • To investigate current surgical performance measures in China.
  • To identify gaps and opportunities for improvement in surgical care performance measurement.
  • To compare Chinese measures with those from the National Quality Forum (NQF) in the US.

Main Methods:

  • Evaluation of 5 official Chinese surgical performance indicator systems.
  • Comparison with National Quality Forum (NQF) endorsed measures.
Keywords:
evaluationperformance measurequalitysurgery

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  • Analysis of measure development, characteristics (stewards, Donabedian frames, risk adjustment), and keyword analysis using word clouds.

    • Main Results:

    • 85 surgery-related measures were analyzed, predominantly outcome measures (76.47%).
    • Measure development in China is government-led, lacking third-party evaluation.
    • Chinese measures are more generic, with limited specialty association engagement, risk adjustment, and payment linkage compared to NQF measures.

    Conclusions:

    • China has progressed in surgical performance measures but requires improvement.
    • Opportunities include greater involvement of specialty societies.
    • Establishing an evaluation mechanism and implementing risk adjustment are key areas for enhancement.