Chren M M
Department of Dermatology, University Hospitals of Cleveland, Ohio, USA.
Dermatol Clin. 1995 Jul;13(3):689-95.
Health services research is a field that uses techniques from many other disciplines to study health care, especially its quality and costs. This article presents examples that illustrate how health services research addresses the delivery of dermatologic care--for example, the development and use of sound quantitative measures of the outcomes of our care, the implementation of strategies to improve these outcomes, the assessment of patients' access to care and their satisfaction with care, and determinations of the cost-effectiveness of our care. Following these examples is a brief review of principles of experimental inquiry and common methodologic pitfalls in health services research, as a guide for readers in the interpretation of published studies.
卫生服务研究是一个运用许多其他学科的技术来研究医疗保健,尤其是其质量和成本的领域。本文列举了一些实例,说明卫生服务研究如何解决皮肤科护理的提供问题——例如,开发和使用合理的定量指标来衡量我们护理的效果,实施改善这些效果的策略,评估患者获得护理的机会及其对护理的满意度,以及确定我们护理的成本效益。在这些实例之后,简要回顾了实验性探究的原则以及卫生服务研究中常见的方法学陷阱,为读者解读已发表的研究提供指导。