Preus C E
Abt Associates Inc., Cambridge, MA, USA.
Manag Care Q. 1995 Autumn;3(4):22-31.
The market place is demanding more information about health plan performance. Employer efforts to restrain increasing premium costs have spawned numerous business coalition initiatives to obtain and analyze performance information. Employer and health plan cooperation on the development of the Health Plan Employer Data Information Set (HEDIS) represents progress toward standardizing data capture, but the complexity of the information does not lend itself to consumer use. This article explores the evolution of the demand for health care performance information and the role of member/employee satisfaction surveys as a tool to capture meaningful data to help measure performance and improve quality.
市场对健康计划绩效的信息需求越来越大。雇主为抑制不断上涨的保费成本所做的努力催生了众多商业联盟倡议,以获取和分析绩效信息。雇主与健康计划在制定健康计划雇主数据信息集(HEDIS)方面的合作代表了在数据采集标准化方面取得的进展,但信息的复杂性使其不适用于消费者使用。本文探讨了对医疗保健绩效信息需求的演变,以及会员/员工满意度调查作为一种工具的作用,该工具可获取有意义的数据,以帮助衡量绩效和提高质量。