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使用绩效评估的局限性与障碍:购买者的视角

Limitations of and Barriers to Using Performance Measurement: Purchasers' Perspectives.

作者信息

Ginsberg Caren, Sheridan Samantha

出版信息

Health Care Financ Rev. 2001 Spring;22(3):49-57.

PMID:25372184
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4194708/
Abstract

Although health plan performance data are becoming increasingly more available, many purchasers are still not using these data to make their purchasing decisions. In this article, we review barriers that private purchasers face to using performance data. In addition, we consider the effects of the larger health care purchasing environment and employers' quality improvement activities on their use of the data. We conclude that a variety of factors, including trends, the health care purchasing environment, characteristics of firms, and problems with performance data and their presentation to users create barriers to incorporating this information into health care decisionmaking.

摘要

尽管健康计划绩效数据越来越容易获取,但许多购买者仍未利用这些数据来做出购买决策。在本文中,我们审视了私人购买者在使用绩效数据时所面临的障碍。此外,我们还考虑了更大的医疗保健购买环境以及雇主的质量改进活动对他们使用这些数据的影响。我们得出结论,包括趋势、医疗保健购买环境、公司特征以及绩效数据及其呈现给用户的方式等多种因素,都对将这些信息纳入医疗保健决策形成了障碍。

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本文引用的文献

1
The National Quality Forum: a 'me-too' or a breakthrough in quality measurement and reporting?国家质量论坛:质量衡量与报告领域的跟风之作还是重大突破?
Health Aff (Millwood). 1999 Nov-Dec;18(6):233-7. doi: 10.1377/hlthaff.18.6.233.
2
Beyond cost: 'responsible purchasing' of managed care by employers.成本之外:雇主对管理式医疗的“责任采购”
Health Aff (Millwood). 1999 Nov-Dec;18(6):212-23. doi: 10.1377/hlthaff.18.6.212.
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Health Aff (Millwood). 1999 Nov-Dec;18(6):158-65. doi: 10.1377/hlthaff.18.6.158.
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Use of performance standards in behavioral health carve-out contracts among Fortune 500 firms.
Am J Manag Care. 1999 Jun 25;5 Spec No:SP81-90.
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What's happened to employers' push for quality?
Bus Health. 1999 Apr;17(4):26-8, 31-2.
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7
Using employer purchasing power to improve the quality of perinatal care.利用雇主的购买力提高围产期护理质量。
Pediatrics. 1999 Jan;103(1 Suppl E):248-54.
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Health Aff (Millwood). 1998 Nov-Dec;17(6):128-37. doi: 10.1377/hlthaff.17.6.128.
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The impact of financial incentives on quality of health care.经济激励措施对医疗保健质量的影响。
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Health care quality: from data to accountability.
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