Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Jerusalem, Israel.
Health Aff (Millwood). 2011 Apr;30(4):764-72. doi: 10.1377/hlthaff.2011.0061.
In 1999 Israel began to implement a system for monitoring quality of care in its health plans. That system was based largely on a similar system in the United States that, until recently, was associated with steady improvements in performance. However, in recent years health plan quality in the United States appears to have reached a plateau. In contrast, health plans in Israel have continued to show improvements on many of the same measures. Between 2005 and 2007 they achieved a gain of 6.7 percent in nine measures of primary care quality, while US performance on these measures declined. These gains were achieved, in part, through intense cooperation among health plans and physicians. Israel is a much smaller country and differs greatly from the United States in how it finances health care. Nonetheless, we suggest that the Israeli experience could help the United States accelerate the move toward quality improvement-for example, through increased coordination among US employers, health plans, physicians, and physician groups.
1999 年，以色列开始在其医疗保健计划中实施监控医疗质量的系统。该系统主要基于美国的一个类似系统，而直到最近，该系统与绩效的稳步提高相关联。然而，近年来，美国的医疗保健计划质量似乎已经达到了一个高原。相比之下，以色列的医疗保健计划在许多相同的指标上继续显示出改进。在 2005 年至 2007 年期间，他们在 9 项初级保健质量指标上取得了 6.7%的增长，而美国在这些指标上的表现却有所下降。这些收益部分是通过医疗保健计划和医生之间的紧密合作实现的。以色列是一个小得多的国家，在医疗保健融资方面与美国有很大的不同。尽管如此，我们认为，以色列的经验可以帮助美国加速向质量改进迈进，例如，通过增加美国雇主、医疗保健计划、医生和医生团体之间的协调。
