Solberg L I, Mosser G, McDonald S
Group Health Foundation/Health Partners, Minneapolis, MN 55440-1309, USA.
Jt Comm J Qual Improv. 1997 Mar;23(3):135-47. doi: 10.1016/s1070-3241(16)30305-4.
In the current climate of public accountability, many clinicians have become uncomfortable with any efforts to create measurement systems. That is unfortunate because measurements are absolutely essential to efforts for improving the processes of medical care. In their guideline implementation and measurement efforts, ISCI and the IMPROVE Project in Minnesota have gradually learned how to distinguish between measurement for improvement and that for accountability. Both approaches are different from the approach that physicians are used to in their encounters with medical research. Understanding these differences and respecting the confidentiality of individual medical groups has been crucial to moving past confusion and suspicion to genuine improvement actions involving multiple medical groups and their contracting managed care plans.
在当前注重公共问责的环境下，许多临床医生对创建测量系统的任何努力都感到不安。这很不幸，因为测量对于改善医疗护理流程的努力绝对至关重要。在其指南实施和测量工作中，ISCI以及明尼苏达州的IMPROVE项目逐渐学会了如何区分用于改进的测量和用于问责的测量。这两种方法都与医生在参与医学研究时习惯的方法不同。理解这些差异并尊重各个医疗团队的保密性，对于消除困惑和怀疑，转向涉及多个医疗团队及其签约管理式医疗计划的真正改进行动至关重要。
