Doyle J B
Doyle Consulting, Inc., Boulder, CO, USA.
Manag Care Q. 1995 Spring;3(2):1-5.
The "outcomes movement" is based on the confluence of two streams of influence: the translation of clinical outcomes research to applied settings and managed care's interest in competition and accountability. Leadership of the movement is diffuse, yet outcomes practitioners recognize the need for greater collaboration and information exchange. Two recent efforts to establish an ongoing forum for outcomes cooperation led to four consensus-based goals for collaboration: to disseminate information, to standardize measurement methods, to inform public opinion and public policy, and to use outcomes information to improve the quality of care. Obstacles to further progress on these four goals include lack of resources, lack of organization, and lack of leadership. Options for addressing these obstacles are presented.
“成果运动”基于两种影响因素的融合：将临床成果研究转化为实际应用环境，以及管理式医疗对竞争和问责制的关注。该运动的领导层分散，但成果从业者认识到加强合作和信息交流的必要性。最近两项建立成果合作常设论坛的努力促成了四个基于共识的合作目标：传播信息、规范测量方法、为公众舆论和公共政策提供信息，以及利用成果信息提高医疗质量。在这四个目标上取得进一步进展的障碍包括资源短缺、缺乏组织和缺乏领导力。文中还提出了应对这些障碍的选项。
