Robert Wood Johnson Foundation, Princeton, New Jersey, USA.
Health Aff (Millwood). 2013 Jun;32(6):1092-100. doi: 10.1377/hlthaff.2012.1079.
Aligning Forces for Quality is the Robert Wood Johnson Foundation's signature effort to improve the overall quality of health care in targeted communities, reduce racial and ethnic disparities in care, and provide models for national reform. Activities in each of the sixteen Aligning Forces for Quality alliance communities are guided by a multistakeholder alliance of consumers, providers, and payers. To achieve goals established at the national and local levels, the alliances integrate local consumers into governance and decision making, program design and implementation, and information dissemination efforts. This article describes how the Aligning Forces for Quality investments have evolved since the initiative's launch in 2006 and offers some early lessons learned. Individual alliances have engaged consumers in numerous capacities, from serving on dedicated consumer advisory boards to representing the consumer's perspective in the design of public reports of providers' quality. The alliances' ongoing and mindful inclusion of consumers provides insights into eliciting and applying their perspectives in the pursuit of improved health care quality, value, and transparency.
《为质量而联合》是罗伯特·伍德·约翰逊基金会的一项标志性举措，旨在提高目标社区的整体医疗质量，减少护理方面的种族和民族差异，并为国家改革提供模式。在十六个“为质量而联合”联盟社区的每一个社区中，都有一个由消费者、提供者和支付者组成的多方利益相关者联盟来指导活动。为了实现国家和地方各级确定的目标，联盟将当地消费者纳入治理和决策、项目设计和实施以及信息传播工作中。本文描述了自 2006 年该倡议启动以来，“为质量而联合”投资的演变情况，并提供了一些早期经验教训。各个联盟以多种身份让消费者参与其中，从专门的消费者咨询委员会任职，到在设计提供者质量的公共报告时代表消费者的观点。联盟不断地、有意识地将消费者纳入其中，深入了解了在追求改善医疗保健质量、价值和透明度的过程中如何征求和应用他们的观点。
