Soohoo Nelson F, Lieberman Jay R, Farng Eugene, Park Samuel, Jain Sushma, Ko Clifford Y
Department of Orthopaedic Surgery, University of California, Los Angeles, CA, USA.
J Long Term Eff Med Implants. 2009;19(4):249-53. doi: 10.1615/jlongtermeffmedimplants.v19.i4.10.
Recent years have seen the proliferation of numerous standards of quality for the process of providing health care, including total joint replacement. These attempts include the implementation of pay-for-reporting and pay-for-performance programs based on quality measures. These programs have often been implemented with few studies of the validity of the quality measures used and with limited input from the orthopedic community. Our project addresses this relative lack of evidence-based measures by developing a set of quality measures that address the perioperative care of patients undergoing total joint replacement. Our goal is to create a model for improving the quality of care and outcomes of total joint replacement in the United States by facilitating physicians in their efforts to apply the best scientific evidence to their daily practice.
近年来，包括全关节置换在内的医疗保健提供过程中出现了众多质量标准。这些举措包括基于质量指标实施按报告付费和按绩效付费项目。这些项目实施时，往往很少对所使用的质量指标的有效性进行研究，且骨科界的参与有限。我们的项目通过制定一套针对全关节置换患者围手术期护理的质量指标，来解决这种相对缺乏循证指标的问题。我们的目标是通过促使医生努力将最佳科学证据应用于日常实践，创建一个提高美国全关节置换护理质量和治疗效果的模式。
