Rogers G, Smith D P
Massachusetts Health Quality Partnership, Boston 02115, USA.
Int J Qual Health Care. 1999 Jun;11(3):251-9. doi: 10.1093/intqhc/11.3.251.
Externally-reported assessments of hospital quality are in increasing demand, as consumers, purchasers, providers, and public policy makers express growing interest in public disclosure of performance information. This article presents an analysis of a groundbreaking program in Massachusetts to measure and disseminate comparative quality information about patients' hospital experiences. The article emphasizes the reporting structure that was developed to address the project's dual goals of improving the quality of care delivered statewide while also advancing public accountability. Numerous trade-offs were encountered in developing reports that would satisfy a range of purchaser and provider constituencies. The final result was a reporting framework that emphasized preserving detail to ensure visibility for each participating hospital's strengths as well as its priority improvement areas. By avoiding oversimplification of the results, the measurement project helped to support a broad range of successful improvement activity statewide.
随着消费者、采购方、医疗服务提供者和公共政策制定者对公开披露医疗表现信息的兴趣日益浓厚，外界对医院质量评估的需求也在不断增加。本文对马萨诸塞州一项开创性计划进行了分析，该计划旨在衡量并传播有关患者医院体验的比较质量信息。文章强调了为实现该项目的双重目标而制定的报告结构，这两个目标分别是提高全州范围内的医疗质量以及增强公共问责制。在制定能满足一系列采购方和医疗服务提供方群体需求的报告时，遇到了诸多权衡。最终结果是形成了一个报告框架，该框架强调保留细节，以确保各参与医院的优势及其优先改进领域都能得到展现。通过避免对结果过度简化，该评估项目有助于在全州范围内支持广泛的成功改进活动。
