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质量指标报告的数量和成本
Anirudh Saraswathula1,2, Samantha J Merck3, Ge Bai4
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
JAMA
|June 6, 2023
概括
医院每年花费数百万美元进行高质量指标报告. 基于索赔的指标成本令人惊,因此建议减少指标数量,增加电子报告以提高效率.
科学领域:
- 医疗服务研究
- 医疗管理
- 健康经济学
背景情况:
- 美国医院向各种组织报告了许多医疗保健质量指标.
- 测量和报告这些质量指标的具体年度成本,与质量改进举措分开,尚不清楚.
研究的目的:
- 评估外部报告的成年患者住院质量指标.
- 估计与这些指标数据收集和报告相关的成本,不包括质量改进工作.
主要方法:
- 在一家大型学术医院进行了一项以时间为导向的基于活动的回顾性成本研究.
- 对参与质量指标报告过程的医院人员进行了采访.
- 分析了2018年的数据.
主要成果:
- 确定了162个独特的指标,其中很大一部分是基于索赔的 (59.3%) 和结果相关的 (66.0%).
- 报告这些指标需要大约108,478个工作小时,
- 基于索赔和图表抽象的指标是最资源密集的,而电子指标的成本明显低.
结论:
- 大量资源仅用于质量指标报告.
- 基于索赔的指标是意外的资源密集型.
- 政策制定者应该考虑减少指标数量,并优先考虑电子报告,以优化资源分配以提高质量.
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