Sutcliffe Daniel, Lester Helen, Hutton John, Stokes Tim
National Institute for Health and Clinical Excellence, Manchester, UK.
Qual Prim Care. 2012;20(1):47-55.
The National Institute for Health and Clinical Excellence (NICE) has been responsible for managing the process of developing new clinical and health improvement indicators for the United Kingdom (UK) Quality and Outcomes Framework (QOF) and reviewing the current QOF clinical indicator set since April 2009. This paper sets out in detail the NICE-led process for QOF indicator development and describes experience to date (2009-2011) in four key areas: prioritisation of clinical guideline recommendations by the QOF advisory committee, development and piloting of quality indicators, cost-effectiveness analysis and retirement of QOF indicators. It concludes by reflecting on potential future developments of the QOF.
英国国家卫生与临床优化研究所（NICE）自2009年4月起负责管理为英国质量与结果框架（QOF）制定新的临床和健康改善指标的流程，并对现行的QOF临床指标集进行审查。本文详细阐述了由NICE主导的QOF指标制定流程，并描述了截至2009年至2011年在四个关键领域的经验：QOF咨询委员会对临床指南建议的优先排序、质量指标的制定与试点、成本效益分析以及QOF指标的淘汰。文章最后对QOF未来可能的发展进行了思考。
