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Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study.基于绩效的薪酬对英国高血压管理和结局的影响：一项中断时间序列研究。
BMJ. 2011 Jan 25;342:d108. doi: 10.1136/bmj.d108.
2
Variability in the measurement of hospital-wide mortality rates.医院死亡率的测量存在变异性。
N Engl J Med. 2010 Dec 23;363(26):2530-9. doi: 10.1056/NEJMsa1006396.
3
Using hospital mortality rates to judge hospital performance: a bad idea that just won't go away.利用医院死亡率来评判医院绩效：一个挥之不去的糟糕想法。
BMJ. 2010 Apr 20;340:c2016. doi: 10.1136/bmj.c2016.
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Monitoring the performance of intensive care units using the variable life-adjusted display: a simulation study to explore its applicability and efficiency.使用可变寿命调整显示监测重症监护病房的性能：一项探索其适用性和效率的模拟研究。
J Eval Clin Pract. 2009 Jun;15(3):506-13. doi: 10.1111/j.1365-2753.2008.01052.x.
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Impact of public reporting on quality of postacute care.公共报告对急性后期护理质量的影响。
Health Serv Res. 2009 Aug;44(4):1169-87. doi: 10.1111/j.1475-6773.2009.00967.x. Epub 2009 Mar 31.
6
Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals.医院标准化死亡率比值中方法学偏倚的证据：对英国医院的回顾性数据库研究
BMJ. 2009 Mar 18;338:b780. doi: 10.1136/bmj.b780.
7
The joint contribution of sex, age and type of myocardial infarction on hospital mortality following acute myocardial infarction.性别、年龄及心肌梗死类型对急性心肌梗死后医院死亡率的联合影响。
Heart. 2009 Jun;95(11):895-9. doi: 10.1136/hrt.2008.155804. Epub 2009 Jan 15.
8
Indicators of quality of care for patients with acute myocardial infarction.急性心肌梗死患者的医疗质量指标。
CMAJ. 2008 Oct 21;179(9):909-15. doi: 10.1503/cmaj.080749.
9
Impact of the present-on-admission indicator on hospital quality measurement: experience with the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators.入院时存在指标对医院质量评估的影响：医疗保健研究与质量局（AHRQ）住院患者质量指标的经验
Med Care. 2008 Feb;46(2):112-9. doi: 10.1097/MLR.0b013e318158aed6.
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Coding for quality measurement: the relationship between hospital structural characteristics and coding accuracy from the perspective of quality measurement.质量测量编码：从质量测量角度看医院结构特征与编码准确性之间的关系
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P.Re.Val.E.：意大利拉齐奥地区医疗保健质量评估的结果研究项目。

P.Re.Val.E.: outcome research program for the evaluation of health care quality in Lazio, Italy.

机构信息

Department of Epidemiology, Regional Health Service-Lazio Region, Rome, Italy.

出版信息

BMC Health Serv Res. 2012 Jan 27;12:25. doi: 10.1186/1472-6963-12-25.

DOI:10.1186/1472-6963-12-25
PMID:22283880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3276429/
Abstract

BACKGROUND

P.Re.Val.E. is the most comprehensive comparative evaluation program of healthcare outcomes in Lazio, an Italian region, and the first Italian study to make health provider performance data available to the public. The aim of this study is to describe the P.Re.Val.E. and the impact of releasing performance data to the public.

METHODS

P.Re.Val.E. included 54 outcome/process indicators encompassing many different clinical areas. Crude and adjusted rates were estimated for the 2006-2009 period. Multivariate regression models and direct standardization procedures were used to control for potential confounding due to individual characteristics. Variable life-adjusted display charts were developed, and 2008-2009 results were compared with those from 2006-2007.

RESULTS

Results of 54 outcome indicators were published online at http://www.epidemiologia.lazio.it/prevale10/index.php. Public disclosure of the indicators' results caused mixed reactions but finally promoted discussion and refinement of some indicators. Based on the P.Re.Val.E. experience, the Italian National Agency for Regional Health Services has launched a National Outcome Program aimed at systematically comparing outcomes in hospitals and local health units in Italy.

CONCLUSIONS

P.Re.Val.E. highlighted aspects of patient care that merit further investigation and monitoring to improve healthcare services and equity.

摘要

背景

P.Re.Val.E. 是意大利拉齐奥地区最全面的医疗保健结果比较评估计划，也是意大利第一个向公众提供医疗服务提供者绩效数据的研究。本研究旨在描述 P.Re.Val.E. 以及向公众发布绩效数据的影响。

方法

P.Re.Val.E. 包括 54 个结果/过程指标，涵盖了许多不同的临床领域。2006-2009 年期间估计了原始和调整后的比率。使用多变量回归模型和直接标准化程序来控制个体特征引起的潜在混杂因素。开发了变量生命调整显示图表，并比较了 2008-2009 年的结果与 2006-2007 年的结果。

结果

54 个结果指标的结果在 http://www.epidemiologia.lazio.it/prevale10/index.php 上在线发布。指标结果的公开披露引起了不同的反应，但最终促进了一些指标的讨论和改进。基于 P.Re.Val.E. 的经验，意大利国家区域卫生服务局启动了一个国家成果计划，旨在系统比较意大利医院和地方卫生单位的成果。

结论

P.Re.Val.E. 突出了患者护理的某些方面，值得进一步调查和监测，以改善医疗保健服务和公平性。