Weeks J C
Center for Outcomes and Policy Research, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Oncology (Williston Park). 1997 Nov;11(11A):137-40.
Outcomes assessment has two primary goals: the evaluation of treatments and the evaluation of quality of care. Data on the outcomes associated with specific interventions may provide an empiric basis for guidelines in areas for which no randomized trial data are available. Also, monitoring of patterns of care and outcomes is an essential component of institutional efforts to implement guidelines and to benchmark themselves against regional and national norms. The National Comprehensive Cancer Network (NCCN) has adopted a three-phase approach to its outcomes assessment program. Phase 1, already completed, involved taking a systematic inventory of members' existing institutional data sources. Phase 2, which is currently in progress, entails pooling data from existing outcomes data bases. In particular, tumor registry data from the National Cancer Data Base are being used to examine patterns of care and outcomes in NCCN institutions and to benchmark them against national norms. Phase 3, begun within the past year, involves the creation of a uniform outcomes assessment system for the NCCN.
治疗评估和医疗质量评估。与特定干预措施相关的疗效数据可为尚无随机试验数据的领域制定指南提供实证依据。此外，监测医疗模式和疗效是机构实施指南并对照地区和国家规范进行自我评估的重要组成部分。美国国立综合癌症网络（NCCN）对其疗效评估项目采用了三阶段方法。第一阶段已完成，包括对成员现有的机构数据源进行系统清查。第二阶段正在进行，需要整合现有疗效数据库中的数据。特别是，来自国家癌症数据库的肿瘤登记数据正用于检查NCCN机构的医疗模式和疗效，并对照国家规范进行评估。第三阶段于去年启动，涉及为NCCN创建一个统一的疗效评估系统。
