质量测量：它将持续存在。
Quality measurement: It's here to stay.
作者信息
Cheng Eric M, Sanders Amy E, Cohen Adam B, Bever Christopher T
机构信息
Department of Neurology (EMC), VA Greater Los Angeles Healthcare System, CA; Department of Neurology (EMC), Geffen School of Medicine, University of California, Los Angeles; Department of Neurology (AES), SUNY Upstate Medical University, Syracuse, NY; Departments of Neurology and Radiology (ABC), Massachusetts General Hospital, Harvard Medical School, Boston; Neurology and Research Services (CTB), VA Maryland Health Care System; and the Department of Neurology (CTB), University of Maryland School of Medicine, Baltimore.
出版信息
Neurol Clin Pract. 2014 Oct;4(5):441-446. doi: 10.1212/CPJ.0000000000000078.
The Centers for Medicare and Medicaid Services (CMS) is shifting from volume-based to value-based reimbursement of health care services. Measuring the value of health care requires measurement of quality and cost. We provide an overview of quality measurement and review a well-known and widely used conceptual model for assessing quality: structure, process, and outcome. We highlight the advantages and disadvantages of using these types of metrics. We then use this conceptual model to describe prominent CMS programs such as the Physician Quality Reporting System, Physician Compare Web site, and the Medicare Shared Savings Plan. We highlight 2 recent trends: the increasing use of outcome measures to supplement process measures and the public reporting of quality.
医疗保险和医疗补助服务中心（CMS）正在从基于数量的医疗服务报销模式转向基于价值的报销模式。衡量医疗保健的价值需要对质量和成本进行评估。我们概述了质量评估方法，并回顾了一个广为人知且广泛使用的用于评估质量的概念模型：结构、过程和结果。我们强调了使用这些类型指标的优缺点。然后，我们使用这个概念模型来描述CMS的一些重要项目，如医师质量报告系统、医师比较网站和医疗保险共同节约计划。我们突出了两个近期趋势：越来越多地使用结果指标来补充过程指标，以及质量的公开报告。
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