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医疗服务提供绩效:服务、结果与资源管理

Health care delivery performance: service, outcomes, and resource stewardship.

作者信息

Cowing Michelle, Davino-Ramaya Carrie M, Ramaya Krishnan, Szmerekovsky Joseph

机构信息

Michelle Cowing, PhD, is a Professor of Management in the Business Administration Department at Pacific University in Forest Grove, OR. E-mail:

出版信息

Perm J. 2009 Fall;13(4):72-8. doi: 10.7812/TPP/08-100.

DOI:10.7812/TPP/08-100
PMID:20740107
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2911834/
Abstract

As competition intensifies within the health care industry, patient satisfaction and service quality are providing the evidentiary basis for patient outcomes. We propose a conceptual model of three interrelated areas, service, health outcomes, and resource stewardship, all affected by the clinician-patient relationship. Our model considers the perspectives of the health care organization, the clinician, and the patient to define a more comprehensive measure of health care delivery performance. Research and managerial aspects, including implementation, are discussed.

摘要

随着医疗保健行业竞争的加剧,患者满意度和服务质量正为患者治疗结果提供证据基础。我们提出了一个由三个相互关联领域构成的概念模型,即服务、健康结果和资源管理,所有这些都受到医患关系的影响。我们的模型考虑了医疗保健机构、临床医生和患者的观点,以定义一个更全面的医疗服务提供绩效衡量标准。文中还讨论了包括实施在内的研究和管理方面的问题。

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本文引用的文献

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Consumer-directed health care for persons under 65 years of age with private health insurance: United States, 2007.2007年美国65岁以下有私人医疗保险人群的消费者主导型医疗保健
NCHS Data Brief. 2009 Mar(15):1-8.
2
Consumer-driven health care may not be what patients need--caveat emptor.消费者主导的医疗保健可能并非患者所需——买家自行小心。
JAMA. 2009 Jan 21;301(3):321-3. doi: 10.1001/jama.2008.994.
3
Plan design and active involvement of consumers in their own health and healthcare.计划设计以及消费者在自身健康和医疗保健方面的积极参与。
Am J Manag Care. 2008 Nov;14(11):729-36.
4
Systematic review: the evidence that publishing patient care performance data improves quality of care.系统评价:公布患者护理绩效数据可改善护理质量的证据。
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