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英国国家医疗服务体系(NHS)的“成功指标”:它们告诉了我们什么?激进统计健康组织

NHS "indicators of success": what do they tell us? Radical Statistics Health Group.

出版信息

BMJ. 1995 Apr 22;310(6986):1045-50.

PMID:7728060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2549433/
Abstract

In the absence of any systematic evaluation of the changes it has made to the NHS, the government cites three "indicators of success." These are record numbers of patients treated, shorter waiting times for hospital treatment, and more children being immunised against the main childhood diseases. Closer inspection of the statistics reveals that they do not support the conclusions inferred from them and that they are misleading measures of the impact of the changes made to the NHS.

摘要

在没有对其对国民医疗服务体系(NHS)所做的改变进行任何系统评估的情况下,政府列举了三个“成功指标”。这些指标是接受治疗的患者数量创纪录、医院治疗的等待时间缩短,以及更多儿童接种了主要的儿童疾病疫苗。对这些统计数据的仔细审查表明,它们并不支持从中推断出的结论,而且它们是对国民医疗服务体系所做改变的影响的误导性衡量标准。

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BMJ Open. 2018 May 9;8(5):e022079. doi: 10.1136/bmjopen-2018-022079.
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Informing the market: the strengths and weaknesses of information in the British National Health Service.向市场提供信息:英国国民医疗服务体系中信息的优势与劣势
Health Care Anal. 1997 Jun;5(2):149-56. doi: 10.1007/BF02678420.
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Rationing health care: from needs to markets? The politics of destruction: rationing in the UK health care market.医疗保健配给:从需求到市场?破坏的政治:英国医疗保健市场中的配给
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本文引用的文献

1
Efficient purchasing.高效采购。
BMJ. 1993 Dec 4;307(6917):1436-7. doi: 10.1136/bmj.307.6917.1436.
2
Scottish death rates published with health warning.
BMJ. 1994 Dec 17;309(6969):1599-600. doi: 10.1136/bmj.309.6969.1599a.
3
National survey of hospital patients.全国医院患者调查。
BMJ. 1994 Dec 10;309(6968):1542-6. doi: 10.1136/bmj.309.6968.1542.
4
The consultant episode: an unhelpful measure.顾问医师诊疗事件:一项无益的指标。
BMJ. 1992 Nov 28;305(6865):1307-8. doi: 10.1136/bmj.305.6865.1307.