Zajac B M, Green-Weir R, Nerenz D R
Center for Health System Studies, Henry Ford Health System, Detroit, MI, USA.
Manag Care Q. 1995 Winter;3(1):29-38.
This article describes the assessment of self-reported health status as one indicator of the performance of health care delivery systems. This work took place in the context of a larger effort to measure performance in health care. The Consortium Research on Indicators of System Performance (CRISP) project is developing measures of the performance of integrated health care systems, rather than plans or providers. The system focus leads to measurement of the health status of defined populations and an analysis of health care episodes and processes extending beyond the physician's office or hospital that relate directly to patient outcomes and satisfaction. This focus provides opportunities for application of performance measures to quality improvement efforts, since outcomes can be logically linked to identifiable and measurable processes. After a discussion of the purpose and the history of CRISP and how populations were defined within the systems, some preliminary data on the health status of populations are presented.
本文将自我报告的健康状况评估描述为医疗保健提供系统绩效的一项指标。这项工作是在一项更大规模的医疗保健绩效衡量工作的背景下开展的。系统绩效指标联合研究（CRISP）项目正在制定综合医疗保健系统的绩效衡量标准，而非针对计划或医疗服务提供者。对系统的关注促使对特定人群的健康状况进行衡量，并对直接与患者预后和满意度相关的、超出医生办公室或医院范围的医疗保健事件及过程进行分析。这种关注为将绩效衡量标准应用于质量改进工作提供了机会，因为结果可以在逻辑上与可识别和可衡量的过程相联系。在讨论了CRISP的目的、历史以及系统内人群是如何定义之后，本文展示了一些关于人群健康状况的初步数据。
