衡量医疗保健质量及其对绩效薪酬举措的影响。
Measuring quality in health care and its implications for pay-for-performance initiatives.
作者信息
Chung Kevin C, Shauver Melissa J
机构信息
Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.
出版信息
Hand Clin. 2009 Feb;25(1):71-81, vii. doi: 10.1016/j.hcl.2008.09.001.
The quality of health care is important to American consumers, and discussion on quality will be a driving force toward improving the delivery of health care in America. Funding agencies are proposing a variety of quality measures, such as centers of excellence, pay-for-participation, and pay-for-performance initiatives, to overhaul the health care delivery system in this country. It is quite uncertain, however, whether these quality initiatives will succeed in curbing the unchecked growth in health care spending in this country, and physicians understandably are concerned about more intrusion into the practice of medicine. This article outlines the genesis of the quality movement and discusses its effect on the surgical community.
医疗保健质量对美国消费者至关重要，关于质量的讨论将成为推动美国改善医疗保健服务的一股力量。资助机构提出了各种质量衡量标准，如卓越中心、参与付费和绩效付费计划，以彻底改革该国的医疗保健服务体系。然而，这些质量举措能否成功遏制该国医疗保健支出的无节制增长还很不确定，医生们担心更多地干预医疗实践也是可以理解的。本文概述了质量运动的起源，并讨论了其对外科领域的影响。
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