儿童健康中的质量指标与质量评估。
Quality indicators and quality assessment in child health.
作者信息
Kavanagh P L, Adams W G, Wang C J
机构信息
Division of General Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, MA 02118, USA.
出版信息
Arch Dis Child. 2009 Jun;94(6):458-63. doi: 10.1136/adc.2008.137893. Epub 2009 Mar 22.
Abstract
Quality indicators are systematically developed statements that can be used to assess the appropriateness of specific healthcare decisions, services and outcomes. In this review, the range and type of indicators that have been developed for children in the UK and USA by prominent governmental agencies and private organisations are highlighted. These indicators are classified in an effort to identify areas of child health that may lack quality measures. The current state of health information technology in both countries is reviewed, since these systems are vital to quality efforts. Finally, several recommendations are proposed to advance the quality indicator development agenda for children. The convergence of quality measurement and indicator development, a growing scientific evidence base and integrated information systems in healthcare may lead to substantial improvements for child health in the 21st century.
摘要
质量指标是系统制定的陈述，可用于评估特定医疗保健决策、服务和结果的适宜性。在本综述中，重点介绍了英国和美国著名政府机构及私人组织为儿童制定的指标范围和类型。对这些指标进行分类，以努力确定儿童健康中可能缺乏质量衡量标准的领域。对两国当前的健康信息技术状况进行了综述，因为这些系统对质量工作至关重要。最后，提出了几项建议，以推进儿童质量指标制定议程。质量衡量与指标制定的融合、不断增长的科学证据基础以及医疗保健中的综合信息系统，可能会在21世纪为儿童健康带来实质性改善。
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