Quality Health Outcomes Model
Quality Health Outcomes Model
复制标题
质量健康结果模型
DOI：
--
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
B. Jennings
中科院分区：
文献类型：
--
作者：
P. Mitchell;S. Ferketich;B. Jennings
目的：Donabedian 1966 年的结构、过程和结果框架指导了美国三十年来对评估和比较医疗保健质量所需要素的研究。多纳贝迪安的观点本质上是线性的，假设结构影响过程，而过程又影响结果。患者特征有时被认为是中介结果，而临床干预被认为是过程。下一篇文章中提出了一个模型，它将影响护理质量的多种因素与期望的结果联系起来。它通过建立与指标的动态关系来扩展以前的模型，这些指标不仅作用于各个组成部分，而且相互影响。
范围和来源：所提出的模型源自作者在护理质量实践和研究方面的经验以及选定的先前理论的综合。
结论：质量健康结果模型足够广泛（a）指导质量改进和结果管理数据库的开发，（b）建议临床干预研究中的关键变量，以及（c）为结果研究和结果管理提供一个框架，不仅比较治疗方案，还比较组织或系统级别的干预措施。该模型还具有一些政策含义。
Purpose: Donabedian's 1966 framework of structure, process, and outcome has guided three decades of study in the United States of the elements needed to evaluate and compare medical care quality. Donabedian's perspective was essentially linear, assuming that structures affect processes, which in turn affect outcomes. Patient characteristics are sometimes considered as mediating outcomes and clinical interventions are considered to be processes. A model is presented in the following article that relates multiple factors affecting quality of care to desired outcomes. It extends previous models by positing dynamic relationships with indicators that not only act upon, but reciprocally affect the various components.
Scope and Sources: The proposed model was derived from a synthesis of the authors' experience in quality of care practice and research, as well as selected previous theories.
Conclusions: The quality health outcomes model is sufficiently broad (a) to guide development of databases for quality improvement and outcomes management, (b) to suggest key variables in clinical intervention research, and (c) to provide a framework for outcomes research and outcomes management that compares not only treatment options, but organizational or system level interventions. The model also has several policy implications.
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DOI：
10.3928/0279-3695-19910701-07
发表时间：
1991
影响因子：
1.2
作者：
Beck,C;Heacock,P;Mercer,S;Walton,CG;Shook,J
通讯作者：
Shook,J
影响因子：
3
作者：
Mitchell,PH;Heinrich,J;Moritz,P;Hinshaw,AS
通讯作者：
Hinshaw,AS
影响因子：
3
作者：
Mitchell,PH;Heinrich,J;Moritz,P;Hinshaw,AS
通讯作者：
Hinshaw,AS
个人控制干预：对手术患者的短期和长期影响。
影响因子：
2
作者：
Johnson,JE;Christman,NJ;Stitt,C
通讯作者：
Stitt,C