Guldvog B
Stiftelse for helsetjenesteforskning, Sentralsykehuset i Akershus, Nordbyhagen.
Tidsskr Nor Laegeforen. 1994 Nov 30;114(29):3466-9.
Until recently, post-war health care was characterized first by expansion and later by cost containment. We now appear to have entered a period focusing on assessment and accountability, often described as the outcomes movement. Patients' outcomes are regarded as the most important information on effectiveness and quality. The outcomes movement includes the traditional outcome measures of mortality and morbidity, as well as clinical endpoints, social, mental and physical well-being, general health, quality of life and patient satisfaction. Establishing the effectiveness of medical care in the "real world" is an important aspect of outcomes research. The article discusses the emergence of outcomes research, the central elements of outcomes management, and some critical views on the outcomes initiative.
直到最近，战后医疗保健的特点首先是扩张，随后是成本控制。现在，我们似乎已经进入了一个专注于评估和问责制的时期，这通常被称为结果导向运动。患者的结果被视为关于有效性和质量的最重要信息。结果导向运动包括死亡率和发病率等传统结果指标，以及临床终点、社会、心理和身体健康、总体健康、生活质量和患者满意度。在“现实世界”中确定医疗保健的有效性是结果研究的一个重要方面。本文讨论了结果研究的兴起、结果管理的核心要素以及对结果倡议的一些批判性观点。
