美國醫療服務績效評價體系的循證研究及對我國的啟示_《中國循證醫學雜志》

作者：

孫紐云 ,  梁銘會

生部醫院管理研究所醫療安全與風險管理中心（北京100083）;

關鍵詞：

美國醫院醫療服務績效評價

DOI：

10.7507/1672-2531.20120062

視頻：

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目的　總結和分析美國醫院績效評價和工作報告的經驗和方法，為我國建立客觀、科學、有效的醫院績效評價體系，加強我國政府對醫療服務的監管，促進醫院健康發展提供決策參考。
方法　計算機檢索美國官方網站和相關數據庫，納入美國醫院績效評價相關制度、研究報告等文獻進行總結分析。
結果　美國典型的醫院績效評價和報告體系包括國家醫療質量報告、醫療保健提供者與系統的消費者評估項目、醫療衛生效果數據和信息收集系統，Leapfrog Group評價體系以及湯姆森路透百強醫院評選。
結論　美國醫療服務績效評價體系對我國的啟示包括：① 對績效考核工作的重視；② 績效考核結果的應用方式；③ 相對科學的績效評價方法及綜合績效考核內容。

引用本文： 孫紐云,梁銘會. 美國醫療服務績效評價體系的循證研究及對我國的啟示. 中國循證醫學雜志, 2012, 12(4): 379-382. doi: 10.7507/1672-2531.20120062 復制

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1. Leavitt M. Medscape’s response to the Institute of Medicine Report: Crossing the quality chasm: a new health system for the 21st century. Med Gen Med, 2001; 5; 3(2): 2.
2. AHRQ. 2010 National healthcare quality report. Available at : http://www.nap.edu/books/0309072808/html/.
3. Sorrra J, Famolaro T, Dyer N, et al. Hospital Survey on Patient Safety Culture: 2010 comparative database report (Prepared by Westat under Contract No. 290-2007-10024C). Rockville, MD: Agency for Healthcare Research and Quality; 2010. AHRQ Publication No. 10-0026. Available at: http://www.ahrq.gov/qual/hospsurvey10/. Accessed June 15, 2010.
4. Balfour DC 3rd, Evans S, Januska J, et al. Health information technology--results from a roundtable discussion. J Manag Care Pharm, 2009, 15(1 Suppl A): 10-17.
5. Ulmer C, Bruno M, Burke S, et al. Future directions for the National Healthcare Quality and Disparities Reports. Washington DC: National Academies Press, 2010.
6. AHRQ. CAHPS: Assessing health care quality from the patient’s perspective. Available at: https://www.cahps.ahrq.gov/content/products/PROD_FacilitiesSurveys.asp.
7. Institute of Medicine. Performance measurement, Accelerating improvement. Available at: http://www.nap.edu/catalog/11517.html.
8. The Leapfrog Hospital Survey. Available at: https://www.leapfroghospitalsurvey.org.
9. Available at: http://www.100tophospitals.com/.
10. Arah OA, Klazinga NS, Delnoij DM, et al. Conceptual frameworks for health systems performance: a quest for effectiveness, quality, and improvement. Int J Qual Health Care, 2003, 15(5): 377-398.

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美國醫療服務績效評價體系的循證研究及對我國的啟示

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《中國循證醫學雜志》

美國醫療服務績效評價體系的循證研究及對我國的啟示

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