Mor Vincent
Department of Community Health and Center for Gerontology and Health Care Research, Brown University School of Medicine, Box G-A418, Providence, RI 02192, USA.
Milbank Q. 2005;83(3):333-64. doi: 10.1111/j.1468-0009.2005.00405.x.
Publicly reporting information stimulates providers' efforts to improve the quality of health care. The availability of mandated, uniform clinical data in all nursing homes and home health agencies has facilitated the public reporting of comparative quality data. This article reviews the conceptual and technical challenges of applying information about the quality of long-term care providers and the evidence for the impact of information-based quality improvement. Quality "tools" have been used despite questions about the validity of the measures and their use in selecting providers or offering them bonus payments. Although the industry now realizes the importance of quality, research still is needed on how consumers use this information to select providers and monitor their performance and whether these efforts actually improve the outcomes of care.
公开报告信息会促使医疗服务提供者努力提高医疗质量。所有疗养院和家庭健康机构都有法定的统一临床数据，这便于公开报告比较性质量数据。本文回顾了应用长期护理服务提供者质量信息的概念和技术挑战，以及基于信息的质量改进所产生影响的证据。尽管对这些措施的有效性以及它们在选择服务提供者或给予其奖金支付方面的用途存在疑问，但质量“工具”仍被使用。尽管该行业现在已经认识到质量的重要性，但仍需研究消费者如何利用这些信息来选择服务提供者并监督其表现，以及这些努力是否真的能改善护理结果。
