Siregar Sabrina, Groenwold Rolf H H, Versteegh Michel J M, van Herwerden Lex A
Universitair Medisch Centrum Utrecht, Afd. Cardio-Thoracale Chirurgie, Utrecht, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(49):A5487.
A good performance indicator reflects the quality of care and uses clinical outcomes. When outcomes are difficult to obtain, process and structure variables can provide a good picture of quality of care. A single performance indicator for the entire hospital is unattainable; efforts should focus on performance indicators for specific disorders. There are limitations to the use of performance indicators to compare hospitals; these include correction for case mix, the statistical reliability of the measurements and the validation of performance indicators. Well-considered performance indicators can be used to monitor trends and identify providers that perform below a certain benchmark, but not to rank them.
一个好的绩效指标能反映医疗质量并采用临床结果。当难以获得结果时，过程和结构变量可以很好地展现医疗质量。整个医院的单一绩效指标是无法实现的；应将精力集中在特定疾病的绩效指标上。使用绩效指标来比较医院存在局限性；这些局限性包括病例组合校正、测量的统计可靠性以及绩效指标的验证。经过深思熟虑的绩效指标可用于监测趋势并识别表现低于特定基准的提供者，但不能用于对他们进行排名。
