McDonald Kathryn M
Center for Primary Care and Outcomes Research, Stanford University, Stanford, CA 94305-6019, USA.
Pediatr Clin North Am. 2009 Aug;56(4):815-29. doi: 10.1016/j.pcl.2009.05.009.
Data and well-constructed measures quantify suboptimal quality in health care and play a crucial role in improving quality. Measures are useful for three major purposes: (1) driving improvements in outcomes of care by prioritizing and selecting appropriate interventions, (2) developing comparative quality reports for consumer and payer decision making and health system accountability, and (3) creating incentives that pay for performance. This article describes the current landscape for measurement in pediatrics compared to adult care, provides a case study of the development and application of a publicly available and federally funded pediatric indicator set using routinely collected hospital discharge data, and addresses challenges and opportunities in selecting and using measures as a function of intended purpose.
数据以及精心构建的衡量指标能够量化医疗保健中次优的质量，并在改善质量方面发挥关键作用。衡量指标有三个主要用途：（1）通过对适当干预措施进行优先排序和选择来推动护理结果的改善；（2）制定比较性质量报告，供消费者和支付方进行决策以及卫生系统承担责任；（3）创造按绩效付费的激励措施。本文描述了与成人护理相比，儿科测量的当前状况，提供了一个使用常规收集的医院出院数据来开发和应用公开可用且由联邦资助的儿科指标集的案例研究，并探讨了根据预期目的选择和使用衡量指标时所面临的挑战和机遇。
