医疗质量指标——一项系统综述。
Healthcare quality indicators--a systematic review.
作者信息
Yildiz Özkan, Demirors Onur
机构信息
Middle East Technical University Informatics Institute, Orta Dogu Teknik Üniversitesi, Ankara, Turkey.
出版信息
Int J Health Care Qual Assur. 2014;27(3):209-22. doi: 10.1108/IJHCQA-11-2012-0105.
PURPOSE
The purpose of this paper is to review the literature on quality model development, validation and limitations.
DESIGN/METHODOLOGY/APPROACH: The systematic literature review used online journal indexes between January 1995 and April 2010. International studies focusing on multiple functional domains and those in which development methods were selected. Two reviewers assessed all studies and 18 were shortlisted.
FINDINGS
Literature reviews, peer reviews, questionnaires and expert panels are the most frequently used model development methods. Expert judges were widely used to validate the models. The most important limitation was that key indicators were missing.
ORIGINALITY/VALUE: Existing healthcare quality models are not comprehensive and there is no consensus on targets, clinical areas or diseases.
目的
本文旨在回顾关于质量模型开发、验证及局限性的文献。
设计/方法/途径：系统文献回顾采用了1995年1月至2010年4月期间的在线期刊索引。聚焦于多个功能领域的国际研究以及那些选择了开发方法的研究。两名评审员评估了所有研究，18项研究入围。
发现
文献综述、同行评审、问卷调查和专家小组是最常用的模型开发方法。专家评判被广泛用于验证模型。最重要的局限性是缺少关键指标。
原创性/价值：现有的医疗质量模型并不全面，在目标、临床领域或疾病方面也未达成共识。
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