Shaller D V, Sharpe R S, Rubin R D
Quality Measurement Advisory Service, Stillwater, MN 55082, USA.
JAMA. 1998;279(16):1254-8. doi: 10.1001/jama.279.16.1254.
Concerted national action is needed to meet the growing demand for health care quality information among all health care stakeholders. We propose a coordinated national network of independent, public-private quality measurement alliances established through strong purchaser and consumer leadership at the state, regional, or local levels. These independent alliances could assume a variety of organizational forms, but all would undertake specific quality measurement and consumer information projects to meet local health care market needs by drawing on various combinations of the emerging national standardized quality measures. Local implementation of quality measures based on national standards will facilitate cross-market benchmarking and multistate comparisons useful not only to state and local market constituencies, but to national employers, health plans, provider organizations, and the federal government as well. Successful models of such alliances already exist that demonstrate the feasibility of this national strategy, but concerted national leadership and federal matching funding will be needed to meet the scope of implementation required in markets across the country.
需要采取全国性的协同行动，以满足所有医疗保健利益相关者对医疗质量信息日益增长的需求。我们提议建立一个全国性的协调网络，由独立的公私合营质量测量联盟组成，通过州、地区或地方层面强大的购买方和消费者领导力来建立。这些独立联盟可以采取多种组织形式，但都将开展特定的质量测量和消费者信息项目，通过利用新兴的国家标准化质量措施的各种组合来满足当地医疗保健市场需求。基于国家标准的质量措施在地方层面的实施将促进跨市场对标和多州比较，这不仅对州和地方市场选民有用，对全国雇主、健康计划、 provider组织和联邦政府也有用。这种联盟的成功模式已经存在，证明了这一国家战略的可行性，但需要全国性的协同领导力和联邦配套资金，以满足全国市场所需的实施范围。
