Irani Jennifer Lynn
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
Clin Colon Rectal Surg. 2014 Mar;27(1):14-8. doi: 10.1055/s-0034-1366914.
In the interest of improving patient care quality and reducing costs, many hospitals across the nation participate in quality measurements. The three programs most applicable to colon and rectal surgery are the National Surgical Quality Improvement Project, the Surgical Care Improvement Project (SCIP), and the Surgical Care and Outcomes Assessment Program. Participation in each is variable, although many hospitals are eligible and welcome to participate. Currently, SCIP is the only one with a financial incentive to participate. This article will focus on participation; however, the motivation for such is elusive in the literature. It is likely that a combination of resource utilization and faith in the concept that participation results in improvements in patient care actually drive participation.
为了提高患者护理质量并降低成本,全国许多医院都参与质量评估。对结肠和直肠手术最适用的三个项目是国家外科质量改进项目、外科护理改进项目(SCIP)和外科护理与结果评估项目。每个项目的参与情况各不相同,尽管许多医院都有资格并欢迎参与。目前,SCIP是唯一一个有经济激励措施鼓励参与的项目。本文将重点关注参与情况;然而,文献中对此的动机却难以捉摸。很可能是资源利用和相信参与能改善患者护理这一观念的结合,实际上推动了参与。