Performance measurement: Problems and solutions
Performance measurement: Problems and solutions
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DOI：
10.1377/hlthaff.17.4.7
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发表时间：
1998-07-01
期刊：
影响因子：
9.7
通讯作者：
Eddy, DM
中科院分区：
文献类型：
--
作者：
Eddy, DM
最近为衡量业绩所作的努力已经确立了其可行性和价值。然而，其全部潜力目前受到几个问题的限制。它们包括概率性质，稀有性，许多健康结果的混淆;信息系统的不足;测量者和措施的多样性;卫生计划的复杂性;和资金的可用性。解决方案是更多地依赖过程措施;用正式的、基于证据的理由来证明每一项措施的合理性;改善信息系统;用基于案例的措施来补充基于人口的措施;制定一套单一的、全国标准化的措施;并为措施的设计和管理提供非政治性的公共资金。
Recent efforts to measure performance have established its feasibility and value. However, its full potential is currently limited by several problems. They include the probabilistic nature, rarity, and confounding of many health outcomes; the inadequacies of information systems; the multiplicity of measurers and measures; the complexity of health plans; and the availability of funding. Solutions are to rely more on process measures; to justify every measure with a formal, evidence-based rationale; to improve information systems; to supplement population-based measures with case-based measures; to develop a single, nationally standardized set of measures; and to provide nonpolitical, public funding for the design and administration of measures.