Interprofessional Implementation Research Evaluation and Clinical Center, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, 14(W), 10701 East Boulevard, Cleveland, OH, 44106, USA,
Curr Diab Rep. 2014 Mar;14(3):472. doi: 10.1007/s11892-013-0472-y.
The operations of any portion of the healthcare delivery system, eg, ambulatory care, the consultation and referral process, or hospital care, are critically dependent upon their control systems. The quality of health care produced by the system and its components is also subject to "control." One of the regulatory mechanisms involves performance measures. The development of good measures of quality is a complex and dynamic process. Within endocrinology, most measures have addressed diabetes care and most quality measurement in diabetes has focused on the ambulatory setting and mainly includes measures of process and intermediate outcomes. This review addresses quality and performance measures for diabetes, their development, characteristics, use, misuse, and future prospects.
医疗保健提供系统的任何部分的运作,例如,门诊护理、咨询和转介过程或医院护理,都严重依赖于其控制系统。系统及其组成部分所提供的医疗保健质量也受到“控制”的影响。其中一种监管机制涉及绩效措施。制定高质量的好措施是一个复杂和动态的过程。在内分泌学中,大多数措施都涉及糖尿病护理,而糖尿病的大多数质量测量都集中在门诊环境中,主要包括过程和中间结果的测量。这篇综述讨论了糖尿病的质量和绩效措施、它们的发展、特点、使用、误用和未来前景。