医師の臨床パフォーマンス評価:展望と障壁
Bruce E Landon1, Sharon-Lise T Normand, David Blumenthal
1Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA. landon@hcp.med.harvard.edu
JAMA
|September 4, 2003
まとめ
医者の能力を評価することは複雑です. 現在の方法は技術的な障壁に直面しており,有効で公正な個々の医師の評価は,さらなる研究を必要とするいくつかの用途では不可能である可能性があります.
科学分野:
- 医療の質とパフォーマンスの測定 医療の質とパフォーマンスの測定
- 医療教育と能力評価の評価について
背景:
- 優秀な医師を特定するための公衆と購入者の需要が増加しています.
- 個々の医師の臨床パフォーマンスを評価する関心の増大.
- 医師の能力を評価するための効果的な方法が必要である.
研究 の 目的:
- 医師の臨床パフォーマンス評価の現状をレビューする.
- 能力評価のためのパフォーマンス評価の有用性に焦点を当てます.
- 医者の業績評価システムに関する勧告を提案する.
主な方法:
- 医者の業績評価に関する既存の文献と実践のレビュー.
- 現在の評価方法の限界の分析.
- 能力評価における技術的な障壁を特定する.
主要な成果:
- 現在の医師の業績評価方法は,個々の医師の能力の評価には不十分です.
- 重要な技術的障壁が,個々の医師の能力の正当で公正な評価を妨げています.
- これらの制約を克服するためにさらなる研究開発が必要である.
結論:
- 有効で公正な個々の医師の能力評価は,実質的な技術的な課題に直面しています.
- 医師の業績評価のいくつかのアプリケーションは,技術的に不可能である可能性があります.
- 継続的な研究は,医師のパフォーマンスと能力評価の進歩に不可欠です.
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