Shih Anthony, Dewar Diane M, Hartman Thomas
The Commonwealth Fund, New York, NY 10021, USA.
Health Care Financ Rev. 2007 Spring;28(3):109-16.
CMS operates the quality improvement organization (QIO) program to improve the quality of care delivered to Medicare beneficiaries. Although there have been several studies regarding the effectiveness of this program, there have not been studies regarding this program's value. This article seeks to answer the value question using costutility analysis. Although additional research is warranted, the results suggest that CMS' investment in the QIO program, estimated at $2,063 to $7,667 per quality-adjusted life year (QALY) gained for nursing home quality improvement (QI) work, represents a good value for health care dollars.
医疗保险和医疗补助服务中心（CMS）实施质量改进组织（QIO）计划，以提高为医疗保险受益人提供的护理质量。尽管已经有多项关于该计划有效性的研究，但尚未有关于该计划价值的研究。本文旨在通过成本效用分析回答价值问题。尽管有必要进行更多研究，但结果表明，CMS对QIO计划的投资，估计为每获得一个质量调整生命年（QALY）用于疗养院质量改进（QI）工作的成本在2,063美元至7,667美元之间，这表明医保资金的使用价值良好。
