Backman Chantal, Vanderloo Saskia, Forster Alan John
School of Nursing, Faculty of Health Sciences, University of Ottawa, Canada; Ottawa Hospital Research Institute, Canada.
Ottawa Hospital Research Institute, Canada.
Health Policy. 2016 Sep;120(9):982-6. doi: 10.1016/j.healthpol.2016.07.006. Epub 2016 Jul 18.
Measuring and monitoring overall health system performance is complex and challenging but is crucial to improving quality of care. Today's health care organizations are increasingly being held accountable to develop and implement actions aimed at improving the quality of care, reducing costs, and achieving better patient-centered care. This paper describes the development of the Collaborative for Excellence in Healthcare Quality (CEHQ), a 5-year initiative to achieve higher quality of patient care in university hospitals across Canada. This bottom-up initiative took place between 2010 and 2015, and was successful in engaging health care leaders in the development of a common framework and set of performance measures for reporting and benchmarking, as well as working on initiatives to improve performance. Despite its successes, future efforts are needed to provide clear national leadership on standards for measuring performance.
衡量和监测整个卫生系统的绩效既复杂又具有挑战性，但对于提高医疗服务质量至关重要。如今的医疗保健组织越来越多地被要求对制定和实施旨在提高医疗服务质量、降低成本以及实现更好的以患者为中心的医疗服务的行动负责。本文描述了医疗保健质量卓越协作组织（CEHQ）的发展情况，这是一项为期5年的倡议，旨在提高加拿大各大学医院的患者护理质量。这项自下而上的倡议于2010年至2015年期间开展，成功地促使医疗保健领导者参与制定一个共同框架以及一套用于报告和基准比较的绩效指标，并致力于开展提高绩效的举措。尽管取得了成功，但未来仍需要做出努力，以便在绩效衡量标准方面提供明确的国家领导。
