Spitzer W O, Letouze D, Spasoff R A, Williams J I
Med Care. 1978 Jul;16(7):560-73. doi: 10.1097/00005650-197807000-00003.
For several years, the government of Ontario has undertaken to foster and develop experimental systems for the delivery of primary health care in the province. At the same time, the government wished to devise a strategy whereby the new health care programs could be rigorously evaluated. A Task Force on Evaluation of Primary Health Care Services produced a plan which yields quantitative information about the function of primary health care units. Three essential indexes of performances, comprising categories of Utilization and Financial Performance (UF-Index), Availability, Accessibility and Scope of Services (A-Index) and Quality of Care (Q-Index), were designed. Two additional quantitative indexes, Consumer Satisfaction and Health Professional Satisfaction, were proposed. The derivation and determination of the three essential indexes are provided in the paper in detail, along with acceptable criteria for performance and methods for comparing the performances of different types of practices in different kinds of population.
数年来，安大略省政府一直致力于在该省培育和发展初级医疗保健服务的实验系统。与此同时，政府希望制定一项战略，以便能够对新的医疗保健项目进行严格评估。一个初级医疗保健服务评估特别工作组制定了一项计划，该计划可产生有关初级医疗保健单位功能的量化信息。设计了三项基本绩效指标，包括利用和财务绩效类别（UF指数）、服务的可获得性、可及性和范围（A指数）以及医疗质量（Q指数）。另外还提出了两项量化指标，即消费者满意度和医疗专业人员满意度。本文详细介绍了这三项基本指标的推导和确定方法，以及可接受的绩效标准和比较不同类型医疗业务在不同人群中的绩效的方法。
