Measurement into practice. Summary and recommendations.

Measurement into practice. Summary and recommendations.
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测量付诸实践。

DOI:
10.1097/00005650-199711001-00014
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发表时间:
1997
期刊:
影响因子:
3
通讯作者:
Hinshaw,AS
Hinshaw,AS
中科院分区:
医学3区
文献类型:
--
作者:
Mitchell,PH;Heinrich,J;Moritz,P;Hinshaw,AS

文献摘要

被引文献

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在华盛顿的乔治敦大学举行的”结果测量和护理提供系统”邀请会议的目的是汇集卫生服务研究人员、护理调查人员、卫生保健购买者和政策制定者,以便:(1)确定和澄清目前显示对护理提供中的组织因素敏感的结果指标,(2)确定有希望的指标,以进一步测量发展或纳入护理提供系统的研究,以及(3)就计量发展和将计量纳入现有数据来源的问题开展研究并提出政策建议。会议组织了全体会议介绍和讨论一系列工作文件,关于组织变量和六个关键结果指标类别之间的关系:发病率,死亡率和不良事件;实现适当的自我保健;健康促进行为的示范;健康相关的生活质量;病人的感知被照顾得很好;和症状管理标准。除了这些关键的成果指标领域外,小组讨论和文件还讨论了将成本联系起来、查找和整合数据、理论和方法问题以及将计量转化为实践和政策的用户观点等问题。最后,工作组花了相当多的时间来处理有关科学状况、进一步工作以及将基于研究的测量付诸实践所需的问题。
The purpose of the invitational conference" Outcome Measures and Care Delivery Systems" at Georgetown University in Washington, DC, was to bring together health services researchers, nursing investigators, health-care purchasers, and policy makers to:(1) identify and clarify outcome indicators currently shown to be sensitive to organizational factors in care delivery,(2) identify promising indicators for further measurement development or incorporation into studies of care delivery systems, and (3) develop research and policy recommendations regarding measurement development and incorporation of measures into existing data sources. The conference was organized by plenary presentation and discussion of a series of working papers regarding the relations among organizational variables and six key outcome indicator categories: morbidity, mortality, and adverse events; achievement of appropriate self-care; demonstration of health-promoting behaviors; health-related quality of life; patient's perception of being cared for well; and symptom management to criterion. In addition to these key outcome indicator areas, issues in linking costs, in locating and integrating data, theoretical and methodological issues, and user perspectives in moving measurement into practice and policy were discussed in panels and papers. Finally, considerable time was given to working groups that addressed questions regarding the state of the science, further work, and what is needed to put research-based measurements into practice.