An international review of projects on hospital performance assessment
An international review of projects on hospital performance assessment
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DOI：
10.1093/intqhc/mzn008
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发表时间：
2008-06-01
影响因子：
2.6
通讯作者：
Frolich, Anne
中科院分区：
文献类型：
--
作者：
Groene, Oliver;Skau, Jutta K. H.;Frolich, Anne
背景为了满足购买者、提供者、临床医生和公众日益增长的需求，评估医疗保健质量在医疗保健中变得越来越重要。鉴于在过去的15年中，越来越多的项目和计划，以评估医疗保健的性能，本文的目的是审查目前的指标项目，医院绩效评估，并比较它们的性能评估工具，提高医院质量（PATH），一个倡议，由世界卫生组织欧洲区域办事处。我们通过系统的文献检索和与专家的联系确定了当前的指标项目。使用归纳法的基础上审查的文献，我们确定了10个指标项目的比较标准。我们提取数据并联系每个指标项目的协调员以验证这些信息。此外，我们还与协调员进行了访谈，以收集有关各个项目评估的更多信息。我们列入了11个项目，这些项目似乎采用了设计和选择指标的共同方法;然而，这些项目在理念、范围和覆盖面方面存在重大差异。这尤其涉及到参与、结果披露和医院绩效评估维度等标准。医院绩效评估项目在全世界已很普遍，卫生组织的保健技术项目等举措需要与现有项目进行良好协调。我们的审查提出了问题，医院绩效评估的影响，应在进一步的研究。
Background. Assessing the quality of health care has become increasingly important in health care in response to growing demands from purchasers, providers, clinicians and the public. Given the increase in projects and programs to assess performance in health care in the last 15 years, the purpose of this paper is to review current indicator projects for hospital performance assessment and compare them to the Performance Assessment Tool for Quality Improvement in Hospitals (PATH), an initiative by the WHO Regional Office for Europe.Methodology. We identified current indicator projects through a systematic literature search and through contact with experts. Using an inductive approach based on a review of the literature, we identified 10 criteria for the comparison of indicator projects. We extracted data and contacted the coordinators of each indicator project to validate this information. In addition, we carried out interviews with coordinators to gather additional information on the evaluation of the respective projects.Results. We included 11 projects that appear to have adopted a common methodology for the design and selection of indicators; however, major differences exist with regard to the philosophy, scope and coverage of the projects. This relates in particular to criteria such as participation, disclosure of results and dimensions of hospital performance assessed.Conclusion. Hospital performance assessment projects have become common worldwide, and initiatives such as the WHO PATH project need to be well coordinated with existing projects. Our review raised questions regarding the impact of hospital performance assessment that should be pursued in further research.