Wessell Andrea M, Liszka Heather A, Nietert Paul J, Jenkins Ruth G, Nemeth Lynne S, Ornstein Steven
South Carolina College of Pharmacy, Medical University of South Carolina Campus, Charleston, South Carolina 29425, USA.
Am J Med Qual. 2008 Jan-Feb;23(1):39-46. doi: 10.1177/1062860607310774.
A number of sources publish health care quality reports in the United States, but there is limited information about achievable performance in primary care settings. The objective of this article is to report Achievable Benchmarks of Care (ABCs) for 54 quality indicators. Eighty-seven practices participating in a demonstration project in the Practice Partner Research Network (PPRNet), representing 35 US states and 711 969 patients, were included in the analyses. PPRNet practices use a common electronic medical record (Practice Partner, Seattle, Washington). ABCs ranged from 25% to 99%. High ABCs (> or =90%) were achieved for blood pressure screening, lipid screening, and avoiding antibiotics in upper respiratory infection. Some calculated ABCs may be lower than the actual ABCs due to incomplete data recording or abstracting. Primary care practices can achieve high performance across a number of quality indicators, and PPRNet ABCs can serve as benchmarks for primary care practitioners and payers.
在美国，许多机构都会发布医疗保健质量报告，但关于初级保健机构可实现的医疗表现的信息却很有限。本文的目的是报告54项质量指标的可实现基准（ABCs）。参与实践伙伴研究网络（PPRNet）示范项目的87家医疗机构被纳入分析，这些机构代表了美国35个州，涉及711969名患者。PPRNet的医疗机构使用通用电子病历（华盛顿州西雅图市的Practice Partner）。ABCs范围从25%到99%。血压筛查、血脂筛查以及在上呼吸道感染中避免使用抗生素方面实现了较高的ABCs（≥90%）。由于数据记录或提取不完整，一些计算出的ABCs可能低于实际的ABCs。初级保健机构在许多质量指标方面都可以实现较高表现，PPRNet的ABCs可以作为初级保健从业者和付款人的基准。
