A framework for selecting performance measures for opioid treatment programs.
A framework for selecting performance measures for opioid treatment programs.
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用于选择阿片类药物治疗计划绩效指标的框架。
DOI：
10.1111/j.1945-1474.2002.tb00430.x
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Hoffman,JeffreyA
中科院分区：
文献类型：
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作者：
Pelletier,LucR;Hoffman,JeffreyA
绩效测量系统必须是组织整体质量战略的一个组成部分。该战略必须符合医疗保健质量，其定义为“为个人和人口提供的医疗保健服务增加‘预期医疗保健结果’的可能性的程度，并与当前的专业知识相一致”（医疗保健质量审查和保证战略设计委员会，1990年，第4页）。该定义的关键要素以及与之密不可分的要素构成了监测和衡量医疗质量的综合计划的基础。这些要素如下：“健康服务”（包括护理过程）“期望的健康结果”（包括提供护理的临床结果）“与当前专业知识一致”(包括医疗保健艺术和科学方面的新技术以及质量管理[QM]原则和实践[Palmer， Lawthers, Banks, Peterson, & Caputo， 1996]此外，绩效衡量系统应符合公认的医疗保健质量框架。医学研究所（IOM）在制定国家报告卡框架的工作中（国家卫生保健服务质量报告委员会，2001年），制定了卫生保健质量的四个组成部分：安全性、有效性、以病人为中心和及时性（第7页）。这些是取自美国医疗保健质量国际移民组织委员会（CQHCA， 2001年）提出的改善医疗保健的六个具体目标。（参见图1。）为了应对日益增长的市场需求，一个全面的质量改进（QI）计划必须包括一个绩效评估系统。绩效评估系统的定义是
A system of performance measurement must be a component of an organization’s overall quality strategy. The strategy must conform to healthcare quality, defined as “the degree to which health services for individuals and populations increase the likelihood of ‘desired healthcare outcomes and are consistent with current professional knowledge”(Committee to Design a Strategy for Quality Review and Assurance in Medicare, 1990, p. 4). The critical elements of this definition and those that are inextricably linked to it form the basis of a comprehensive program to monitor and measure healthcare quality. These elements are as follows:“health services”(includes processes of care)“desired health outcomes”(includes the clinical consequences of care delivered)“consistent with current professional knowledge”(includes new technologies in the art and science of healthcare as well as in quality management [QM] principles and practices [Palmer, Lawthers, Banks, Peterson, & Caputo, 1996, In addition, the performance measurement system should conform to an accepted healthcare quality framework. The Institute of Medicine (IOM), in its work on developing a framework for a national report card (Committee on the National Quality Report on Health Care Delivery [CNQRHCD], 2001), developed four components of healthcare quality: safety, effectiveness, patientcenteredness, and timeliness (p. 7’). These are taken from the six specific aims for healthcare improvement proposed by the IOM Committee on Quality of Health Care in America (CQHCA, 2001).(See Figure 1.) In response to increasing market demands, a comprehensive quality improvement (QI) program must include a performance measurement system. A performance measurement system is defined as