Keswani Aakash, Uhler Lauren M, Bozic Kevin J
Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, Texas.
J Arthroplasty. 2016 Jun;31(6):1139-1143. doi: 10.1016/j.arth.2016.01.075. Epub 2016 Mar 21.
Quality, experience, and cost are important indicators of value to patients. However, stakeholders have yet to reach agreement on how to define quality and which measures should be used to assess quality. Measures that have been used to assess quality in health care include structural, process, patient experience, efficiency, and outcomes measures. Payers and other quality rating organizations use a combination of measures to rate or rank hospitals on the quality of care they provide. These ratings can be strictly informational or can be used to steer patients, for contracting between payers and providers, and more recently, for adjustments to reimbursements. Physicians and hospitals have a crucial role to play in the development of quality measures that are used to measure and improve value. Consensus on quality measures will facilitate meaningful comparisons across providers and insights that will enable improvements in the value of care we deliver to our patients.
质量、经验和成本是对患者而言价值的重要指标。然而，利益相关者尚未就如何定义质量以及应使用哪些指标来评估质量达成共识。用于评估医疗保健质量的指标包括结构、过程、患者体验、效率和结果指标。支付方和其他质量评级组织使用多种指标组合来对医院提供的护理质量进行评级或排名。这些评级可以只是提供信息，也可用于引导患者、支付方与医疗机构之间的签约，以及最近用于报销调整。医生和医院在制定用于衡量和提高价值的质量指标方面起着至关重要的作用。质量指标上的共识将有助于在不同医疗机构之间进行有意义的比较，并带来能使我们为患者提供的护理价值得到提升的见解。
