医疗实践特征与心血管疾病护理质量之间的关系。
The relationship between medical practice characteristics and quality of care for cardiovascular disease.
作者信息
Landon Bruce E, Normand Sharon Lise T, Meara Ellen, Simon Steven R, Frank Richard, McNeil Barbara J
机构信息
Harvard Medical School, Boston, USA.
出版信息
Med Care Res Rev. 2008 Apr;65(2):167-86. doi: 10.1177/1077558707310208. Epub 2007 Dec 20.
The settings in which health care services are delivered have the potential to influence the quality of health care services in numerous ways, but little is known about the relationship between characteristics of medical practices and quality of care. In this study, the authors studied patients with coronary heart disease (CHD). The authors surveyed 225 medical practices in 2000 and 2001 and obtained information on quality measures from the medical records for more than 1,600 of their patients with CHD. Results suggest that quality of care, at least for common conditions with agreed-on measures, is not strongly influenced by financial characteristics of medical practices, although there does seem to be some relationship with practice structure such as size and quality.
提供医疗保健服务的环境有可能在许多方面影响医疗保健服务的质量，但对于医疗实践的特征与医疗质量之间的关系却知之甚少。在本研究中，作者对冠心病（CHD）患者进行了研究。作者在2000年和2001年对225家医疗实践机构进行了调查，并从1600多名冠心病患者的病历中获取了有关质量指标的信息。结果表明，至少对于有商定指标的常见病症而言，医疗实践的财务特征对医疗质量的影响并不强烈，尽管似乎与规模和质量等实践结构存在一定关系。
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