Christensen-Szalanski J J, Diehr P H, Wood R W, Tompkins R K
Am J Public Health. 1982 Jan;72(1):16-21. doi: 10.2105/ajph.72.1.16.
A previous study showed that a clinical algorithm for respiratory illnesses, consisting of a checklist, a set of instructions (logic), and computer audit/feedback, could reduce costs significantly while maintaining a high quality of care. The results of this study show that the algorithm system, developed and validated at one primary care clinic, can be successfully imported to another primary care clinic. In the present study, the algorithm system significantly improved the completeness of the medical records, reduced the use of medical tests by 20 per cent-75 per cent, and reduced non-provider costs by 36 per cent per patient visit. This study also shows that all three components of the algorithm system appear to be necessary to achieve these improvements and maintain a high quality of medical care. These results suggest that a wider use of the algorithm system for minor acute medical problems is both feasible and useful in providing high-quality cost-effective care that is auditable.
先前的一项研究表明，一种针对呼吸道疾病的临床算法，包括一份清单、一套指令（逻辑）以及计算机审核/反馈，在保持高质量医疗服务的同时能够显著降低成本。本研究结果表明，在一家初级保健诊所开发并验证的该算法系统能够成功引入到另一家初级保健诊所。在本研究中，该算法系统显著提高了病历的完整性，将医学检查的使用减少了20%至75%，并且每次患者就诊时将非医疗服务成本降低了36%。本研究还表明，算法系统的所有三个组成部分似乎对于实现这些改进以及维持高质量医疗服务都是必要的。这些结果表明，将该算法系统更广泛地应用于轻度急性医疗问题，在提供可审核的高质量、高性价比医疗服务方面既可行又有用。
