Archimedes Inc., San Francisco, California, USA.
Health Aff (Millwood). 2008 Sep-Oct;27(5):1429-41. doi: 10.1377/hlthaff.27.5.1429.
We analyzed the potential effects of different levels of performance on eight Health Care Employer Data and Information Set (HEDIS) measures for cardiovascular disease and diabetes during 1995-2005. The measures targeted 3.3 million (25 percent) heart attacks. Improvements in performance to those achieved by the median plan in 2005 imply prevention of 1.9 million myocardial infarctions (MIs, 15 percent), 0.8 million strokes (8 percent), and 0.1 million cases of end-stage renal disease (17 percent). If performance had been 100 percent, 1.4 million more MIs would have been prevented. Control of blood pressure has the largest potential effect on quality at the national level.
我们分析了 1995 年至 2005 年期间，8 项医疗保健雇主数据和信息集（HEDIS）心血管疾病和糖尿病衡量指标中不同绩效水平的潜在影响。这些衡量指标针对的是 330 万（25%）例心脏病发作。2005 年，与中位数计划相比，绩效的提高意味着可预防 190 万例心肌梗死（MI，15%）、80 万例中风（8%）和 10 万例终末期肾病（17%）。如果绩效达到 100%，则可预防多 140 万例 MI。在全国范围内，控制血压对质量的潜在影响最大。
