Mitchell Pamela H, Lang Norma M
University of Washington School of Nursing, Seattle, Washington 98195-7265, USA.
Med Care. 2004 Feb;42(2 Suppl):II4-11. doi: 10.1097/01.mlr.0000109122.92479.fe.
The objective of this study was to determine the uses of the Quality Health Outcomes framework and indicator categories in the healthcare literature.
We studied personal communications and conducted a literature search using computerized databases since 1997, when the recommendations of the Invitational Conference on Measures and Outcomes of Care Delivery were available.
The Quality Health Outcomes Model has been used explicitly to frame a small number of research summaries and programs. The outcome indicator categories can be found in several "report card" initiatives in the United States and Canada. Use of these outcome categories, thought to be sensitive to nursing care inputs, has grown since 1977, with a rising number of uses linked to system or organizational factors or interventions.
This model and others like it are increasingly forming the conceptual framework for studies that evaluate quality and system interventions to improve care. However, the available data continue to require the linking of negative outcomes (adverse events, complications) to structural and process inputs that reflect nursing care. An urgent need remains to incorporate this broader range of outcomes into available databases.
本研究的目的是确定质量健康结果框架及指标类别在医疗文献中的用途。
自1997年有了《护理服务措施与结果邀请会议》的建议以来，我们研究了个人交流情况并使用计算机数据库进行了文献检索。
质量健康结果模型已被明确用于构建少量研究综述和项目。结果指标类别可见于美国和加拿大的多项“成绩单”倡议中。自1977年以来，这些被认为对护理投入敏感的结果类别使用量有所增加，与系统或组织因素或干预措施相关的使用量不断上升。
该模型及类似模型正日益成为评估质量和系统干预措施以改善护理的研究的概念框架。然而，现有数据仍需将负面结果（不良事件、并发症）与反映护理的结构和过程投入联系起来。迫切需要将更广泛的结果纳入现有数据库。
