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The problem with composite indicators.综合指标的问题。
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More Challenges in Measuring Care Quality.衡量医疗质量面临的更多挑战。
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Health care quality measurement in the care of patients with cirrhosis.肝硬化患者护理中的医疗质量评估
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[The evaluation of health care outcomes and hospital performance indicators].[医疗保健结果与医院绩效指标的评估]
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A multivariable analysis to predict variations in hospital mortality using systems-based factors of healthcare delivery to inform improvements to healthcare design within the English NHS.采用基于系统的医疗保健提供因素对医院死亡率进行多变量分析，以提供有关英国国民保健制度内医疗保健设计改进的信息。
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本文引用的文献

1
Evaluation of hospital outcomes: the relation between length-of-stay, readmission, and mortality in a large international administrative database.医院结局评估：大型国际管理数据库中住院时间、再入院率和死亡率之间的关系
BMC Health Serv Res. 2018 Feb 14;18(1):116. doi: 10.1186/s12913-018-2916-1.
2
Missing data and chance variation in public reporting of cancer stage at diagnosis: Cross-sectional analysis of population-based data in England.癌症诊断时分期的公共报告中的数据缺失与随机变异：基于英格兰人群数据的横断面分析
Cancer Epidemiol. 2018 Feb;52:28-42. doi: 10.1016/j.canep.2017.11.005. Epub 2017 Nov 23.
3
Decision theory for comparing institutions.制度比较的决策理论。
Stat Med. 2018 Feb 10;37(3):457-472. doi: 10.1002/sim.7525. Epub 2017 Oct 16.
4
Multidimensional performance assessment of public sector organisations using dominance criteria.运用优势标准对公共部门组织进行多维绩效评估。
Health Econ. 2018 Feb;27(2):e13-e27. doi: 10.1002/hec.3554. Epub 2017 Aug 18.
5
Associations Between Hospital Characteristics, Measure Reporting, and the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Ratings.医院特征、指标报告与医疗保险和医疗补助服务中心医院总体质量星级评级之间的关联
JAMA. 2017 May 16;317(19):2015-2017. doi: 10.1001/jama.2017.3148.
6
Using Harm-Based Weights for the AHRQ Patient Safety for Selected Indicators Composite (PSI-90): Does It Affect Assessment of Hospital Performance and Financial Penalties in Veterans Health Administration Hospitals?将基于伤害的权重用于美国医疗保健研究与质量局（AHRQ）选定指标综合患者安全指数（PSI - 90）：这会影响退伍军人健康管理局医院的医院绩效评估和财务处罚吗？
Health Serv Res. 2016 Dec;51(6):2140-2157. doi: 10.1111/1475-6773.12596.
7
The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned.新的医疗保险和医疗补助服务中心（CMS）医院质量星级评级：星级并不一致。
JAMA. 2016 Nov 1;316(17):1761-1762. doi: 10.1001/jama.2016.13679.
8
Developing robust composite measures of healthcare quality - Ranking intervals and dominance relations for Scottish Health Boards.制定可靠的医疗质量综合指标——苏格兰卫生委员会的排名区间与优势关系
Soc Sci Med. 2016 Aug;162:59-67. doi: 10.1016/j.socscimed.2016.06.026. Epub 2016 Jun 16.
9
Quantifying the impact of different approaches for handling continuous predictors on the performance of a prognostic model.量化处理连续预测变量的不同方法对预后模型性能的影响。
Stat Med. 2016 Oct 15;35(23):4124-35. doi: 10.1002/sim.6986. Epub 2016 May 18.
10
Intelligent Monitoring? Assessing the ability of the Care Quality Commission's statistical surveillance tool to predict quality and prioritise NHS hospital inspections.智能监测？评估护理质量委员会的统计监测工具预测质量并确定国民保健服务医院检查优先级的能力。
BMJ Qual Saf. 2017 Feb;26(2):120-130. doi: 10.1136/bmjqs-2015-004687. Epub 2016 Apr 18.

综合指标的问题。

The problem with composite indicators.

机构信息

THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Cambridge, UK.

ECHO (Epidemiology of Cancer Healthcare and Outcomes) Group,Department of Behavioural Science and Health, University College London, London, UK.

出版信息

BMJ Qual Saf. 2019 Apr;28(4):338-344. doi: 10.1136/bmjqs-2018-007798. Epub 2018 Aug 12.

DOI:10.1136/bmjqs-2018-007798
PMID:30100565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6559782/
Abstract

'The Problem with…' series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive problems that seem to resist solution.

摘要

“问题与……”系列涵盖了与改善医疗质量相关的一些颇具争议的话题，包括广泛推荐但却极具迷惑性的改进策略，以及一些看似难以解决的普遍问题。