Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals
Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals
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DOI：
10.1016/j.healthpol.2005.02.007
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发表时间：
2005-12-01
期刊：
影响因子：
3.3
通讯作者：
Kingma, H
中科院分区：
文献类型：
--
作者：
Berg, M;Meijerink, Y;Kingma, H
本文描述了荷兰第一套国家、公共和强制性医院绩效指标的制定和实施情况。注重有效性和安全性的SET是由荷兰卫生保健检查局开发的，目的是提高他们的任务的有效性和效率：监测提供者提供的护理质量。此外，SET还将提高医院部门的透明度，并刺激个别医院提高分数。为了弥合“内部”和“外部”指标之间的一些经典区别，监察局的愿景是迅速制定一套可行的指标，以实现这些目标，同时最大限度地防止误解、防御性或反常反应等“副作用”。监察局的座右铭是“可行至上”，这显然避免了寻找指标的详尽有效性的陷阱。本文描述了这一哲学、政治和务实并举的战略是如何成功发挥作用的，以及该指标集最终是如何被有关各方接受的。(C)2005爱思唯尔爱尔兰有限公司。保留所有权利。
This paper describes the development and implementation of the first national, public and obligatory set of hospital performance indicators in the Netherlands. Focusing on effectiveness and safety, the set was developed by the Dutch Health Care Inspectorate to improve the effectiveness and efficiency of their task: monitoring the quality of the care delivered by providers. In addition, the set would enhance the transparency of the hospital sector, and stimulate individual hospitals to improve their scores. Bridging some of the classic distinctions between 'internal' and 'external' indicators, the Inspectorate's vision was to rapidly produce a feasible set of indicators that would fulfill these aims, while maximally preventing 'side effects' such as misinterpretations, defensive or perverse reactions. Explicitly avoiding the trap of searching for exhaustive validity of the indicators, the inspectorate's motto was 'feasability first'. This paper describes how this simultaneously philosophical, political and pragmatic strategy played out successfully, and how the indicator set was ultimately embraced by all parties involved. (c) 2005 Elsevier Ireland Ltd. All rights reserved.