Neighbor W E, Baldwin L M, West P A, Hart L G
Department of Family Medicine, University of Washington School of Medicine, Seattle 98195, USA.
Am J Public Health. 1997 Apr;87(4):663-6. doi: 10.2105/ajph.87.4.663.
This study examined hospital administrators' experiences with the National Practitioner Data Bank.
One hundred forty-nine rural hospital administrators completed questionnaires assessing their perceptions of the data bank.
Nearly 90% of respondents rated the data bank as an important source of information for credentialing. Three percent indicated it had directly affected privileging decisions; 43% and 34%, respectively, believed the costs exceeded or equaled the benefits. Twenty percent reported changes that could decrease disciplinary action reports to the data bank.
While the National Practitioner Data Bank is an important source of information to rural hospitals, it may, affect few credentialing decisions and motivate behavioral changes that could have a paradoxical effect on quality assurance.
本研究调查了医院管理人员使用国家从业者数据库的经历。
149名农村医院管理人员完成了评估他们对该数据库看法的问卷调查。
近90%的受访者将该数据库评为认证的重要信息来源。3%的人表示它直接影响了特权授予决定；43%和34%的人分别认为成本超过或等于收益。20%的人报告了可能减少向该数据库提交纪律处分报告的变化。
虽然国家从业者数据库是农村医院的重要信息来源，但它可能只会影响少数认证决定，并促使行为发生变化，而这可能会对质量保证产生矛盾的影响。
