Ahern Susannah, Evans Sue, Hopper Ingrid, Zalcberg John
School of Public Health and Preventive Medicine, Monash University, 553St Kilda Road, Melbourne, Vic. 3004, Australia. Email: ;
Aust Health Rev. 2019 Jul;43(3):284-287. doi: 10.1071/AH17201.
The healthcare value of Australian clinical quality registries (CQRs) has recently been highlighted by the Australian Commission of Safety and Quality in Health Care (ACSQHC) as being similar to the benefits of CQRs reported internationally. However, the development of CQRs in Australia is currently limited by a lack of coordination and strategic planning, leading to governance and funding processes that are varied and non-sustainable. Despite this, Australia has achieved recognised success with exemplar clinical registries where funding has been sustained at least partly by public funds. To this end, Australia can learn from international CQR governance and funding models to support CQR sustainability, most notably those from European and Scandinavian countries. Further, following the release of the ACSQHC's prioritised domains for CQRs and anticipated funding from the Medical Research Future Fund, the ACSQHC is well positioned to lead a national strategic approach for clinical registries. Together with medical leadership and engagement, operational and data management support from the jurisdictions and financial support from both the public and private sectors, a prioritised and coordinated approach may soon become a reality.
澳大利亚医疗保健质量登记处（CQRs）的医疗保健价值最近被澳大利亚医疗保健安全与质量委员会（ACSQHC）强调，认为与国际上报告的CQRs的益处相似。然而，澳大利亚CQRs的发展目前受到缺乏协调和战略规划的限制，导致治理和资金流程各不相同且不可持续。尽管如此，澳大利亚在一些典范性临床登记处取得了公认的成功，这些登记处的资金至少部分由公共资金维持。为此，澳大利亚可以借鉴国际CQRs治理和资金模式来支持CQRs的可持续性，最值得注意的是来自欧洲和斯堪的纳维亚国家的模式。此外，在ACSQHC发布了CQRs的优先领域以及医学研究未来基金的预期资金之后，ACSQHC完全有能力引领临床登记处的国家战略方法。加上医学领域的领导和参与、各司法管辖区的运营和数据管理支持以及公共和私营部门的财政支持，一种优先且协调的方法可能很快成为现实。
