Reinventing VA health care: systematizing quality improvement and quality innovation.
Reinventing VA health care: systematizing quality improvement and quality innovation.
复制标题
重塑 VA 医疗保健：系统化质量改进和质量创新。
作者：
Kenneth W. Kizer;J. Demakis;J. R. Feussner
美国退伍军人事务部 (VA) 的退伍军人健康管理局 (VHA) 管理着美国最大的完全一体化的医疗保健系统。 1995 年，VHA 发起了一项重塑工作，其中包括自 1946 年退伍军人医疗保健系统正式建立以来对 VA 医疗保健进行的最彻底的重新设计。这项重塑工作的两个最重要目标是确保系统中各处都能提供可预测且一致的高质量护理，并优化 VA 医疗保健的价值。尽管这项工作仍在进行中，但在过去 5 年里，我们已经在实现这些目标方面取得了显着的成果。本文概述了退伍军人医疗保健系统，并重点介绍了该系统重组的选定方面。它还描述了为更好地管理绩效并使质量改进和质量创新系统化而采取的各种步骤。此信息提供了一个全球背景，应有助于理解本期医疗保健其他文章中描述的质量增强研究计划的起源和目的。
The Veterans Health Administration (VHA) in the US Department of Veterans Affairs (VA) manages the largest fully integrated health care system in the United States. In 1995, the VHA initiated a reinvention effort that included the most radical redesign of VA health care to occur since the veterans health care system was formally established in 1946. The 2 paramount goals of this reinvention effort were to ensure the predictable and consistent provision of high-quality care everywhere in the system and to optimize the value of VA health care. Although still a work in progress, dramatic results have been achieved toward these ends during the past 5 years. This article provides an overview of the veterans health care system, and it highlights selected aspects of the system's reengineering. It also describes various steps that have been taken to better manage performance and to systematize quality improvement and quality innovation. This information provides a global context that should facilitate understanding of the genesis and purposes of the Quality Enhancement Research Initiative that is described in other articles in this issue of Medical Care.
DOI：
10.1001/jama.1994.03510340051033
发表时间：
1994-03
期刊：
JAMA
影响因子：
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作者：
E. Hannan;H. Kilburn;Michael J. Racz;E. Shields;M. Chassin
通讯作者：
E. Hannan;H. Kilburn;Michael J. Racz;E. Shields;M. Chassin