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健康计划认证:国家质量保证委员会(NCQA)、医疗机构评审联合委员会(JCAHO),还是两者兼具?

Health plan accreditation: NCQA, JCAHO, or both?

作者信息

Scanlon D P, Hendrix T J

机构信息

Pennsylvania State University, University Park, USA.

出版信息

Manag Care Q. 1998 Autumn;6(4):52-61.

Abstract

Currently the National Committee for Quality Assurance (NCQA) and the Joint Commission on the Accreditation of Healthcare Organizations (the Joint Commission) accredit managed care organizations (MCOs), but is competition in the market for plan accreditation beneficial or counterproductive? This paper presents the results from two surveys that were administered to a group of large public and private purchasers, and representatives from the American Association of Health Plans and the Centers for Disease Control, who attended the Lovelace Health System (LHS) "Accreditation Experience" program. The LHS program was designed to inform purchasers about the NCQA and Joint Commission accreditation processes. The surveys captured purchaser views about the advantages and disadvantages of both accreditation processes, the value of accreditation, and the use of plan performance measures.

摘要

目前,国家质量保证委员会(NCQA)和医疗保健组织认证联合委员会(联合委员会)对管理式医疗组织(MCO)进行认证,但是计划认证市场中的竞争是有益还是会适得其反呢?本文展示了两项调查的结果,这两项调查针对的是一群大型公共和私人购买者,以及美国健康计划协会和疾病控制中心的代表,他们参加了洛夫莱斯健康系统(LHS)的“认证体验”项目。LHS项目旨在让购买者了解NCQA和联合委员会的认证流程。这些调查收集了购买者对于这两种认证流程的优缺点、认证的价值以及计划绩效指标使用情况的看法。

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