Mor Vincent
Department of Community Health and Center for Gerontology and Health Care Research, Brown University School of Medicine, Providence, RI 02192, USA.
J Am Med Dir Assoc. 2007 Mar;8(3 Suppl 2):e129-37. doi: 10.1016/j.jamda.2006.12.014.
The US health care industry increasingly agrees that sharing information about quality of care is necessary to stimulate 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 rapid adoption of public reporting of comparative quality data. This paper examines the conceptual and technical challenges underlying the application of information about long-term care provider quality to judge and compare the quality of care provided by nursing homes and home health agencies. In general, the impetus to apply the emerging set of quality "tools" based on mandated clinical assessments may have outstripped the evidence for their valid application in selecting top providers or for rewarding their superior performance.
美国医疗行业越来越认同，分享医疗质量信息对于激励医疗服务提供者努力提高医疗质量是必要的。所有疗养院和家庭健康机构都有法定的统一临床数据，这促进了比较质量数据公开报告的迅速采用。本文探讨了将长期护理服务提供者质量信息用于评判和比较疗养院及家庭健康机构所提供护理质量时所面临的概念和技术挑战。总体而言，基于法定临床评估应用这套新兴质量“工具”的推动力，可能已经超过了其在挑选顶尖服务提供者或奖励其卓越表现方面有效应用的证据。
