Rhoads Kim F, Konety Badrinath M, Dudley R Adams
Department of Surgery, Stanford University, Stanford, CA 94305, USA.
Urol Clin North Am. 2009 Feb;36(1):37-48, vi. doi: 10.1016/j.ucl.2008.08.003.
The use of incentives to improve quality of care is spreading rapidly across the health care system. Public reporting (PR) and pay-for-performance (PFP) are two examples of incentive-based programs. Although conclusive level I evidence for the positive impacts of these PR and PFP is limited, individual states and the federal government have begun to adopt and pilot these programs for a variety of specific clinical conditions. This article reviews the principles of health care quality performance measurement; current reporting and pay-for-performance programs; and the most recent literature documenting positive, negative and future impacts of these types of programs on urologic practice.
利用激励措施来提高医疗质量正在医疗系统中迅速蔓延。公开报告（PR）和按绩效付费（PFP）是基于激励措施的项目的两个例子。尽管关于这些公开报告和按绩效付费的积极影响的确凿的一级证据有限，但个别州和联邦政府已开始针对各种特定临床情况采用并试点这些项目。本文回顾了医疗质量绩效评估的原则；当前的报告和按绩效付费项目；以及记录这些类型的项目对泌尿外科实践的积极、消极和未来影响的最新文献。
