Rathod Rahul H, Farias Michael, Friedman Kevin G, Graham Dionne, Fulton David R, Newburger Jane W, Colan Steven, Jenkins Kathy, Lock James E
Department of Cardiology, Children's Hospital Boston, and Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Congenit Heart Dis. 2010 Jul-Aug;5(4):343-53. doi: 10.1111/j.1747-0803.2010.00438.x.
The current tools to adequately inform the process of improving health-care delivery consist primarily of retrospective studies, prospective trials, and clinical practice guidelines. We propose a novel and systematic approach that bridges the gap of our current tools to affect change, provides an infrastructure to improve health-care delivery, and identifies unnecessary resource utilization. The objective of this special article is to introduce the rationale and methods for this endeavor entitled "Standardized Clinical Assessment and Management Plans" (SCAMPs). SCAMPs take a relatively heterogeneous patient population and through a process of iterative analysis and modification of standardized assessment and management algorithms, SCAMPs allow the intrinsic biologic variability in a patient population to emerge and be understood. SCAMPs can be used to complement our currently available tools in order to result in incremental and sustained improvement in health-care delivery.
目前用于充分指导改善医疗服务过程的工具主要包括回顾性研究、前瞻性试验和临床实践指南。我们提出了一种新颖且系统的方法，该方法弥合了当前工具在影响变革方面的差距，提供了改善医疗服务的基础设施，并识别出不必要的资源利用情况。这篇专题文章的目的是介绍这项名为“标准化临床评估与管理计划”（SCAMPs）的工作的基本原理和方法。SCAMPs针对相对异质的患者群体，通过对标准化评估和管理算法进行迭代分析和修改的过程，使患者群体内在的生物学变异性得以显现并被理解。SCAMPs可用于补充我们现有的工具，从而实现医疗服务的逐步和持续改善。
