Kilpatrick Kerry E, Lohr Kathleen N, Leatherman Sheila, Pink George, Buckel Jean M, Legarde Caroline, Whitener Lynn
University of North Carolina at Chapel Hill, Department of Health Policy and Administration, Chapel Hill, NC 27599-7411, USA.
Int J Qual Health Care. 2005 Aug;17(4):347-55. doi: 10.1093/intqhc/mzi034. Epub 2005 Mar 23.
To determine whether a positive financial return on investment for quality-enhancing interventions is more likely for particular health conditions, in specific organizational settings, or with the use of particular interventions.
Electronic search of MEDLINE.
Search keywords included: business case, cost-effectiveness, cost-benefit, return on investment, costs, cost savings, quality, quality improvement, and program evaluation.
Only 15 of 1968 articles identified contained sufficient information on both the costs of implementing quality-enhancing interventions and the resultant changes in costs of care or revenues to permit the calculation of a return on investment.
Scant attention is currently paid in the quality-of-care literature to the cost of implementing quality-enhancing interventions. To understand which quality-enhancing interventions are likely to produce positive returns on investments, data collection and analysis must include tracking the investment and operating costs of implementing the intervention as well as the changes in revenues and costs that result from the intervention.
确定在特定健康状况、特定组织环境下或使用特定干预措施时，质量提升干预措施获得正向财务投资回报的可能性是否更高。
对MEDLINE进行电子检索。
检索关键词包括：商业案例、成本效益、成本效益分析、投资回报、成本、成本节约、质量、质量改进和项目评估。
在检索出的1968篇文章中，只有15篇包含足够信息，涉及实施质量提升干预措施的成本以及由此导致的护理成本或收入变化，从而能够计算投资回报。
目前护理质量文献中对实施质量提升干预措施的成本关注甚少。为了了解哪些质量提升干预措施可能产生正向投资回报，数据收集和分析必须包括跟踪实施干预措施的投资和运营成本，以及干预措施导致的收入和成本变化。
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