Forster Alan J, van Walraven Carl
Performance Measurement, The Ottawa Hospital, Ottawa, Ontario, Canada.
Open Med. 2012 Jun 19;6(2):e75-9. Print 2012.
In Canada, we place significant cultural and financial value on our healthcare system. As such, it is imperative we measure its quality. In this commentary, we highlight some of the potential benefits and harms associated with measuring quality using currently available indicators, such as hospital mortality rates, emergency department length of stays, and readmission rates. These measures tend to focus on provider and process issues rather than patient outcomes and also reflect what we can measure rather than what we should measure. We argue that the current approaches are inadequate and recommend a better understanding of the limitations of current indicators and more provider engagement. To meet these recommendations the health system needs to increased investment in performance measurement systems.
在加拿大，我们高度重视医疗保健系统的文化价值和经济价值。因此，衡量其质量势在必行。在这篇评论中，我们强调了使用现有指标（如医院死亡率、急诊科住院时长和再入院率）来衡量质量可能带来的一些益处和危害。这些指标往往侧重于医疗服务提供者和流程问题，而非患者的治疗结果，并且反映的是我们能够衡量的内容，而非我们应该衡量的内容。我们认为当前的方法并不完善，建议更好地理解当前指标的局限性，并让医疗服务提供者更多地参与其中。为落实这些建议，卫生系统需要增加对绩效评估体系的投入。
