Rubin H R, Pronovost P, Diette G B
Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Int J Qual Health Care. 2001 Dec;13(6):469-74. doi: 10.1093/intqhc/13.6.469.
As consumers, payers, and regulatory agencies require evidence regarding health care qualities the demand for process of care measures will grow. Although outcome measures of quality represent the desired end results of health care, validated process of care measures provide an important additional element to quality improvement efforts, as they illuminate exactly which provider actions could be changed to improve patient outcomes. In this essay, we discuss the advantages and disadvantages of process measures of quality, and outline some practical strategies and issues in implementing them.
随着消费者、支付方和监管机构要求提供有关医疗保健质量的证据，对医疗护理过程指标的需求将会增加。虽然质量结果指标代表了医疗保健期望的最终结果，但经过验证的医疗护理过程指标为质量改进工作提供了一个重要的额外要素，因为它们确切地阐明了哪些医疗服务提供者的行为可以改变以改善患者的治疗结果。在本文中，我们讨论了质量过程指标的优缺点，并概述了实施这些指标的一些实用策略和问题。
