Krumholz Harlan M, Normand Sharon-Lise T, Spertus John A, Shahian David M, Bradley Elizabeth H
Yale University School of Medicine, New Haven, Connecticut, USA.
Health Aff (Millwood). 2007 Jan-Feb;26(1):75-85. doi: 10.1377/hlthaff.26.1.75.
To complement the current process measures for treating patients with heart attacks and with heart failure, which target gaps in quality but do not capture patient outcomes, the Centers for Medicare and Medicaid Services (CMS) has proposed the public reporting of hospital-level thirty-day mortality for these conditions in 2007. We present the case for including measurements of outcomes in the assessment of hospital performance, focusing on the care of patients with heart attacks and with heart failure. Recent developments in the methodology and standards for outcomes measurement have laid the groundwork for incorporating outcomes into performance monitoring efforts for these conditions.
为补充目前针对心脏病发作和心力衰竭患者的治疗过程措施，这些措施针对质量差距但未涵盖患者预后情况，医疗保险和医疗补助服务中心（CMS）于2007年提议公开报告这些病症的医院层面30天死亡率。我们阐述了将预后测量纳入医院绩效评估的理由，重点关注心脏病发作和心力衰竭患者的护理。预后测量方法和标准的最新进展为将预后纳入这些病症的绩效监测工作奠定了基础。
