Dunnick N Reed, Applegate Kimberly E, Arenson Ronald L
Department of Radiology, University of Michigan Health System, Ann Arbor, MI 48109-0030, USA.
J Am Coll Radiol. 2007 Mar;4(3):156-61. doi: 10.1016/j.jacr.2006.11.002.
Recent publications by the Institute of Medicine have pointed out the many medical errors that occur and the adverse effect of those errors on patient outcomes. These errors are often the result of problems within our health care systems. In an effort to improve patient care outcomes, many health care providers have developed improved policies and practices. Third-party payers are encouraging participation in quality efforts through a variety of mechanisms, including pay for performance, pay for participation, and the creation of centers of excellence. If the quality of health care is to be improved and monitored, appropriate metrics must be developed. Such metrics must be within the control of providers, measurable, and likely to improve patient outcomes. The participants of the 2006 Intersociety Conference developed 49 metrics, which are offered for adoption by health care networks, payers, and regulation agencies.
医学研究所最近发表的报告指出了发生的许多医疗差错以及这些差错对患者治疗结果的不利影响。这些差错往往是我们医疗系统内部问题导致的。为了改善患者护理结果，许多医疗服务提供者制定了更好的政策和做法。第三方支付方通过多种机制鼓励参与质量改进工作，包括按绩效付费、按参与付费以及设立卓越中心。如果要提高并监测医疗质量，就必须制定适当的衡量标准。此类标准必须在提供者的控制范围内、可衡量且有可能改善患者治疗结果。2006年跨学会会议的参与者制定了49项衡量标准，供医疗网络、支付方和监管机构采用。
