质量改进专业人员如何（以及为何）衡量绩效？
How (and why) do quality improvement professionals measure performance?
作者信息
Lighter Donald E
机构信息
The University of Tennessee, The Institute for Healthcare Quality Research and Education, 2120 River Sound Dr., Knoxville TN 37922, United States.
出版信息
Int J Pediatr Adolesc Med. 2015 Mar;2(1):7-11. doi: 10.1016/j.ijpam.2015.03.003. Epub 2015 Mar 27.
The era of value-based care has engulfed healthcare delivery systems around the world. Pediatricians are especially challenged by constrained resources for providing care to our vulnerable population, and methods for achieving value for children through improved quality and reduced cost of care are crucial for success. This paper examines the use of measures to determine the two components of the value proposition: quality and cost. The implications for adopting Lean Six Sigma as an improvement paradigm are reviewed, and the case for using these concepts is detailed with examples of measures used in health systems in the United States and several other countries.
基于价值的医疗时代已经席卷了全球的医疗服务体系。儿科医生在为我们脆弱的人群提供护理时面临资源受限的特殊挑战，通过提高护理质量和降低护理成本来为儿童实现价值的方法对于成功至关重要。本文探讨了使用指标来确定价值主张的两个组成部分：质量和成本。回顾了采用精益六西格玛作为改进范式的影响，并通过美国和其他几个国家卫生系统中使用的指标示例详细阐述了使用这些概念的理由。
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