Groene Oliver, Skau Jutta K H, Frølich Anne
Research and Education, Avedis Donabedian Research Institute, Barcelona, Spain.
Int J Qual Health Care. 2008 Jun;20(3):162-71. doi: 10.1093/intqhc/mzn008. Epub 2008 Mar 13.
Assessing the quality of health care has become increasingly important in health care in response to growing demands from purchasers, providers, clinicians and the public. Given the increase in projects and programs to assess performance in health care in the last 15 years, the purpose of this paper is to review current indicator projects for hospital performance assessment and compare them to the Performance Assessment Tool for Quality Improvement in Hospitals (PATH), an initiative by the WHO Regional Office for Europe.
We identified current indicator projects through a systematic literature search and through contact with experts. Using an inductive approach based on a review of the literature, we identified 10 criteria for the comparison of indicator projects. We extracted data and contacted the coordinators of each indicator project to validate this information. In addition, we carried out interviews with coordinators to gather additional information on the evaluation of the respective projects.
We included 11 projects that appear to have adopted a common methodology for the design and selection of indicators; however, major differences exist with regard to the philosophy, scope and coverage of the projects. This relates in particular to criteria such as participation, disclosure of results and dimensions of hospital performance assessed.
Hospital performance assessment projects have become common worldwide, and initiatives such as the WHO PATH project need to be well coordinated with existing projects. Our review raised questions regarding the impact of hospital performance assessment that should be pursued in further research.
鉴于购买方、医疗服务提供者、临床医生及公众的需求不断增加，评估医疗服务质量在医疗保健领域变得愈发重要。鉴于过去15年中评估医疗服务绩效的项目和计划不断增加，本文旨在回顾当前用于医院绩效评估的指标项目，并将它们与世界卫生组织欧洲区域办事处发起的医院质量改进绩效评估工具（PATH）进行比较。
我们通过系统的文献检索和与专家联系来确定当前的指标项目。基于对文献的回顾，采用归纳法，我们确定了10条用于比较指标项目的标准。我们提取了数据，并与每个指标项目的协调员联系以验证这些信息。此外，我们对协调员进行了访谈，以收集有关各个项目评估的更多信息。
我们纳入了11个项目，这些项目似乎在指标的设计和选择上采用了共同的方法；然而，这些项目在理念、范围和覆盖面上存在重大差异。这尤其涉及到参与度、结果披露以及所评估的医院绩效维度等标准。
医院绩效评估项目在全球范围内已很常见，世界卫生组织PATH项目等举措需要与现有项目进行良好协调。我们的综述提出了关于医院绩效评估影响的问题，应在进一步研究中加以探讨。
