Conference - Physician-Level Interventions: What Works to Improve Quality of Care

描述(由申请人提供)： 项目摘要/叙述性医生级别的干预：什么对提高护理质量有效？自2001年医学研究所发布报告《跨越质量鸿沟》以来，公共和私人支付者对解决源于美国医疗体系的质量问题的兴趣日益高涨，这些问题被广泛认为是杂乱无章和缺乏协调的。联邦和州政府，以及代表其医疗计划的私人雇主，已经接受了一系列干预措施，以提高质量和遏制医疗支出的增长，例如按绩效付费、公共报告和以患者为中心的医疗之家。近年来，越来越多的此类干预措施针对的是医生，因为他们在推动医疗决策方面发挥了核心作用，这对成本和质量都有影响。此外，这些类型的干预措施包括在《平价医疗法案》(2010年3月)中，预计将成为最近推出的《国家质量战略》(2011年3月)执行计划的一部分。该项目名为医生级别的干预措施：什么能改善护理质量？-旨在检查和评估各种临床医生指导的质量干预措施的有效性，并为公共和私人支付者以及同行监管机构未来的战略和决策提供信息。为了实现这一目标，该项目将在头六个月内制作一份初步文件，开始描述我们对一套针对执业临床医生的明确定义的市场、监管和专业标准制定干预措施的了解(和不了解)。这项初步研究将被用来为将在赠款年的中期举行的会议提供信息。政策制定者、私营部门领导人和研究人员仅限受邀参加的会议将讨论和辩论这一新出现的、尽管尚未完成的证据摘要的含义。会议还将提供一个论坛，就提高医生业绩的战略是否继续为推进与医学有关的医疗保健系统改革提供最佳方法和机会进行实质性对话。到赠款年度结束时，目标是根据会议的讨论情况编写一份证据摘要，并在决策者广泛阅读的同行评议期刊上发表这一摘要，以便更广泛地向实地传播结果，并指导和鼓励今后跨研究分领域的研究。 公共卫生相关性： 项目叙述医生级别的干预：什么能改善护理质量？人们对解决美国医疗体系的质量问题和成本越来越感兴趣，这些问题是由缺乏组织和协调的美国医疗体系造成的，预计医疗改革将进一步推进。鉴于医生在推动医疗决策方面的核心作用，大量干预措施针对的是医生，这对整体医疗质量和成本具有影响。这项名为“医生层面的干预措施：怎样才能提高护理质量？”的项目将侧重于研究的发展和传播，这些研究检查与一些旨在提高医生绩效的针对性干预措施有关的证据。

DESCRIPTION (provided by applicant): Project Summary/Narrative Physician-Level Interventions: What Works to Improve Quality of Care? Since the Institute of Medicine published the report Crossing the Quality Chasm in 2001, there has been heightened interest on the part of public and private payers to address quality issues that stem from a U.S. healthcare system widely recognized to be disorganized and uncoordinated. Federal and state governments, as well as private employers by proxy of their health plans, have embraced a number of interventions to enhance quality and curb the growth of health care spending, such as pay-for-performance, public reporting, and the patient-centered medical home. In recent years, an increasing number of these interventions have targeted physicians, given their central role in driving medical decision making, with implications for both cost and quality. Additionally, these types of interventions are included in the Affordable Care Act (March 2010), and are anticipated to be part of the implementation plans for the recently introduced National Quality Strategy (March 2011). This project - Physician-Level Interventions: What Works to Improve Quality of Care? - aims to examine and evaluate the efficacy of various clinician-directed quality interventions and to inform future strategies and decisions of public and private payers and peer regulators. To achieve this aim, the project will produce an initial document within the first six months that begins to describe what we know (and don't know) about a set of well-defined market, regulatory, and professional standard setting interventions targeting practicing clinicians. This initial research will be used to inform the conference to be held at the midpoint in the grant year. The invitation-only conference of policy makers, private sector leaders, and researchers will discuss and debate the implications of this emerging, though not yet complete, evidence summary. The conference will also provide a forum for a substantive conversation about whether the strategies to enhance physician performance continue to provide the best approaches and opportunities to advance reform of the healthcare system as it relates to medicine. By the end of the grant year, the goal is to produce an evidence summary, informed by the conference discussion, and to publish this summary in a peer-reviewed journal read widely by policymakers in order to more broadly disseminate the results to the field and to guide and encourage future research that crosses subfields of research. PUBLIC HEALTH RELEVANCE: Project Narrative Physician-Level Interventions: What Works to Improve Quality of Care? There has been an increased interest in addressing quality issues and costs that result from an unorganized and uncoordinated US healthcare system, expected to be advanced further with health care reform. A large number of interventions have targeted physicians, given their central role in driving medical decision making, with its implications for overall health care quality and costs. This project - Physician-Level Interventions: What Works to Improve Quality of Care? - will focus on the development and dissemination of research that examines the evidence related to a targeted number of interventions focused on enhancing physician performance.