Fetterolf D E
Alliance Ventures, Inc., USA.
Physician Exec. 1998 May-Jun;24(3):42-6.
Two critical milestones appear to be occurring in the development of medical groups moving to improve medical care effectiveness. These include the abilities to work with imperfect and unflattering data. There is a clear linkage between these two concepts, because forward clinical improvement or business planning is often delayed as individual physicians seek to await "perfect data" when confronted with unflattering information. In the form of "profiles" in particular, providers often react negatively, with complaints that the information is "imperfect" or that it fails to capture some nuance of their sicker or unique patient populations. The translation of imperfect information to effective clinical practice anyway remains a success fundamental to managing highly competitive medical groups and health plans. It is centrally dependent on the understanding, use, and application of "imperfect data".
在致力于提高医疗保健效果的医疗集团发展过程中，似乎正在出现两个关键的里程碑。其中包括处理不完美且不太有利数据的能力。这两个概念之间存在明显的联系，因为当个别医生面对不太有利的信息时，往往会寻求等待“完美数据”，从而导致临床改进或业务规划的推进经常延迟。特别是以“概况”的形式，医疗服务提供者常常做出负面反应，抱怨信息“不完美”，或者未能捕捉到他们病情较重或独特患者群体的某些细微差别。然而，将不完美的信息转化为有效的临床实践仍然是管理高度竞争的医疗集团和健康计划的成功基础。这主要依赖于对“不完美数据”的理解、使用和应用。
