Arvidsson Eva, Dijkstra Rob, Klemenc-Ketiš Zalika
Research and Development unit for Primary Care, Futurum, Jönköping, Sweden.
Jönköping Academy for Improvements of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Zdr Varst. 2019 Jun 26;58(3):101-103. doi: 10.2478/sjph-2019-0013. eCollection 2019 Sep.
The easy access to data from electronic patient records has made using this type of data in pay-for-performance systems increasingly common. General practitioners (GPs) throughout Europe oppose this for several reasons. Not all data can be used to derive good quality indicators and quality indicators can't reflect the broad scope of primary care. Qualities like person-centred care and continuity are particularly difficult to measure. The indicators urge doctors and nurses to spend too much time on the registration and administration of required data. However, quality indicators can be very useful as starting points for discussions about quality in primary care, with the purpose being to initiate, stimulate and support local improvement work. This led to The European Society for Quality and Patient Safety in General Practice (EQuiP) feeling the urge to clarify the different aspects of quality indicators by updating their statement on measuring quality in Primary Care. The statement has been endorsed by the Wonca Europe Council in 2018.
从电子病历中轻松获取数据，使得在绩效付费系统中使用这类数据变得越来越普遍。欧洲各地的全科医生（GPs）出于多种原因反对这种做法。并非所有数据都可用于得出高质量指标，而且质量指标无法反映初级保健的广泛范围。以患者为中心的护理和连续性等特质尤其难以衡量。这些指标促使医生和护士在所需数据的登记和管理上花费过多时间。然而，质量指标作为初级保健质量讨论的起点可能非常有用，目的是启动、促进和支持地方改进工作。这使得欧洲全科医学质量与患者安全协会（EQuiP）感到有必要通过更新其关于初级保健质量测量的声明来澄清质量指标的不同方面。该声明于2018年得到欧洲世界家庭医生学会理事会的认可。
