Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system.
Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system.
复制标题
DOI：
10.1016/s0140-6736(15)00343-8
复制
发表时间：
2015-10-10
期刊：
影响因子：
--
通讯作者：
Hu S
中科院分区：
文献类型：
--
作者：
Jiang L;Krumholz HM;Li X;Li J;Hu S
中国面临着解决快速增长的心血管疾病（CVD）人口和不断增加的心血管疾病患者人数的迫切需要。尽管在增加获得服务的机会方面取得了进展，但中国面临着缩小护理质量差距和提供更多证据支持临床实践的双重挑战。在本文中，我们探讨了加强绩效衡量的机会、提高护理质量的计划以及为临床实践提供高影响力知识的国家能力。此外，我们还就中国如何立即利用其医院质量监测系统和其他现有国家平台来评估和提高绩效，以及产生新知识来为临床决策和国家政策提供信息，提出了对其他条件有影响的建议。
China faces the immediate need of addressing the rapidly growing population with cardiovascular disease (CVD) events and the increasing numbers who are living with CVD. Despite progress in increasing access to services, China faces the dual challenge of addressing gaps in quality of care and producing more evidence to support clinical practice. In this article, we address opportunities to strengthen performance measurement, programs to improve quality of care and national capacity to produce high impact knowledge for clinical practice. Moreover, we propose recommendations, with implications for other conditions, for how China can immediately leverage its Hospital Quality Monitoring System and other existing national platforms to evaluate and improve performance, as well as generate new knowledge to inform clinical decisions and national policies.