Orthopedic Center of Illinois, Springfield, Illinois.
Atlantic Neurosurgical Specialists.
Neurosurgery. 2018 Feb 1;82(2):136-141. doi: 10.1093/neuros/nyx476.
Health care is expensive in the United States. There is an increasing focus on value rather than volume. Accurately measuring quality is a critically important step in determining value of care delivered. This article discusses the trials and techniques of measuring quality in spine surgery. A detailed analysis of advantages and disadvantages of various measures of quality, including process measurements, patient-reported outcome measurements, and safety measurements is included-from a historical perspective through modern practice.
美国的医疗保健费用很高。人们越来越关注价值，而不是数量。准确衡量质量是确定所提供医疗服务价值的关键步骤。本文讨论了测量脊柱外科质量的试验和技术。从历史角度到现代实践，详细分析了各种质量衡量指标的优缺点，包括过程测量、患者报告的结果测量和安全测量。
