Gold M, Burnbauer L, Chu K
Mathematica Policy Research, Washington, DC 20024-2512, USA.
Inquiry. 1995;32(4):468-75.
This article reports on results of a 1994 telephone survey sponsored by the Robert Wood Johnson Foundation to obtain better information on state policymakers' views of the quality of state-based health data and selected information on the actual data available. The findings suggest that state policymakers cannot identify easily who and how many are without health insurance coverage, nor do they know exactly how much money is spent in the state on health care and who spends it. They also cannot ascertain quality or consumers' satisfaction with health plans. Funding, lack of comparability across data sets, and the reluctance of providers and insurers to submit required data are perceived as barriers to improving data. Adopting realistic strategies to overcome these barriers may be crucial if states are to assume greater leadership in health policy and in monitoring health system performance.
本文报道了1994年由罗伯特·伍德·约翰逊基金会发起的一项电话调查结果，旨在更好地了解州政策制定者对州级健康数据质量的看法以及有关现有实际数据的选定信息。研究结果表明，州政策制定者无法轻易确定哪些人没有医疗保险以及有多少人没有医疗保险，他们也不清楚该州在医疗保健方面花费了多少钱以及由谁支出。他们同样无法确定健康计划的质量或消费者满意度。资金、数据集缺乏可比性以及提供者和保险公司不愿提交所需数据被视为改善数据的障碍。如果各州要在健康政策和监测卫生系统绩效方面发挥更大的领导作用，采取切实可行的策略来克服这些障碍可能至关重要。
