Donahue K T
Joint Commission on Accreditation of Health Care Organization, Illinois 60181.
Salud Publica Mex. 1993 May-Jun;35(3):288-90.
The United States of America is consuming more than 13 percent of the gross national product in health care. The health care consumers, payers and providers want value for their health care dollar, and that means they need information on cost and quality of care. The Joint Commission on Accreditation of Health Care Organizations launched its Agenda for Change in 1986 in an effort to convert the accreditation process from structure to performance focused standards. Now, the Joint Commission has a new set of indicators that have undergone rigorous testing. The Joint Commission stimulates and facilitates quality, as well as recognizes that Continuous Quality Improvement is just one of many means to improve performance.
美国在医疗保健方面的支出超过了国民生产总值的13%。医疗保健消费者、支付方和提供者希望他们花在医疗保健上的钱物有所值，这意味着他们需要有关医疗成本和质量的信息。医疗保健组织认证联合委员会于1986年推出了其“变革议程”，旨在将认证过程从以结构为重点的标准转变为以绩效为重点的标准。现在，联合委员会有了一套经过严格测试的新指标。联合委员会促进并推动质量提升，同时也认识到持续质量改进只是提高绩效的众多手段之一。
