滚下跑道:质量报告卡面临的挑战
1Department of Health Policy and Management, Harvard School of Public Health, Brigham and Women's Hospital, Boston, MA 02115, USA. aepstein@hsph.harvard.edu
JAMA
|June 12, 1998
概括
医疗保健提供者的公共质量报告正在改善,随着健康雇主数据和信息集 (HEDIS) 等扩展的数据收集. 现在的挑战集中在有效报告和使用这些数据来赋予消费者权力和提高护理质量.
科学领域:
- 医疗保健质量测量 医疗保健质量测量
- 医疗保健服务研究 医疗服务研究
- 公共卫生报告 公共卫生报告
背景情况:
- 增加医院和健康计划绩效报告的公开发布,以便提供者进行比较.
- 过去的障碍包括缺乏质量指标和可行的数据收集方法.
- 在制定质量指标和数据收集策略方面取得了重大进展.
研究的目的:
- 评估医疗保健公共质量报告的成就和挑战.
- 确定目前有效使用质量报告卡的障碍.
- 探索改善医疗保健质量数据报告和利用的策略.
主要方法:
- 审查近年来公共质量报告的经验.
- 评估质量指标和数据收集方面的进展 (例如,卫生雇主数据和信息集 - HEDIS).
- 分析与数据报告和利用相关的挑战.
主要成果:
- 数百个医疗保险计划现在经常报告标准化的质量数据.
- 主要挑战已经从数据可用性转移到有效的数据报告和使用.
- 需要就报告个人医生数据和利用各种数据收集方法达成共识.
结论:
- 公共质量报告取得了显著的进步,克服了最初的数据收集障碍.
- 当前的挑战需要更好的数据呈现和利用策略.
- 改善质量报告对于授权购买者和消费者提高医疗保健质量至关重要.
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