Cerfolio Robert J, Chang Stephanie H
Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, United States.
Front Surg. 2021 Feb 1;7:604916. doi: 10.3389/fsurg.2020.604916. eCollection 2020.
In the last decade, healthcare systems have shifted their focus from increased volume of patients and procedures to improving patient outcomes and quality. While there are many societies and companies that have surrogate measures of excellence, these metrics are determined by those who do not directly participate and fully understand the best measurements of quality. In order to better assess quality and value, the Efficiency Quality Index (EQI) was created. The novel aspect of the EQI is the determination of metrics by the physicians who actually perform the procedures, in order to create an accurate and fair measurement of performance and outcomes. In this article, we describe how to create and implement the EQI, as well as outline its benefits.
在过去十年中，医疗保健系统已将重点从增加患者数量和手术量转移到改善患者治疗效果和质量上。虽然有许多协会和公司拥有卓越的替代指标，但这些指标是由那些没有直接参与且不完全理解质量最佳衡量标准的人确定的。为了更好地评估质量和价值，创建了效率质量指数（EQI）。EQI的新颖之处在于由实际执行手术的医生来确定指标，以便对绩效和结果进行准确而公平的衡量。在本文中，我们描述了如何创建和实施EQI，并概述了其优点。
