Gibberd R, Pathmeswaran A, Burtenshaw K
Health Services Research Group, University of Newcastle.
J Qual Clin Pract. 2000 Dec;20(4):136-44. doi: 10.1046/j.1440-1762.2000.00378.x.
Clinical indicators (CI) are increasingly being used to assess the quality of health care being provided by physicians and hospitals. However, a standardised reporting format and a methodology to assess the utility of the CI data has not been developed. This paper provides the reporting format that has been developed for the clinical colleges. The results for four surgical indicators are used to illustrate how the CI data can determine the potential to improve the quality of care. Numerical estimates of the potential gains that could be made are calculated by: (i) determining the outcome if the current mean rate was shifted to the rate for the best 20% of hospitals and (ii) identifying units with unusual variation in rates and shifting their rate to the average. All four indicators reveal gains that could impact on health policy and clinical practice.
临床指标（CI）越来越多地被用于评估医生和医院所提供的医疗保健质量。然而，尚未开发出标准化的报告格式以及评估CI数据效用的方法。本文提供了为临床学院开发的报告格式。使用四个外科手术指标的结果来说明CI数据如何能够确定改善护理质量的潜力。通过以下方式计算可能获得的潜在收益的数值估计：（i）确定如果将当前平均比率调整为最佳20%医院的比率时的结果，以及（ii）识别比率有异常变化的单位并将其比率调整为平均值。所有四个指标都显示出可能影响卫生政策和临床实践的收益。
