用于医疗保健系统绩效评估的医疗保健质量的维度和指标

IF 1.5 4区经济学 Q3 BUSINESS, FINANCE

International Journal of Health Economics and Management Pub Date : 2021-03-14 DOI:10.14748/HEM.V20I1.7672

V. Nikolova

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引用次数: 0

摘要

提供高质量卫生保健是所有卫生保健系统的中心目标。卫生保健质量是卫生系统绩效评估(HSPA)的基本组成部分之一。卫生保健的质量由六个方面衡量——有效性、安全性、以病人为中心、可及性、适当性和护理的连续性。本研究旨在找出并系统化用于卫生系统绩效评估的最常用的衡量卫生保健质量的维度和指标。为了实现这一目标，审查工作是在各国和各组织的卫生保健服务调查报告以及与卫生保健质量有关的科学出版物的基础上进行的。在审查卫生保健服务体系概念性框架的基础上，确定了衡量卫生保健质量的304个不同指标。它们大多侧重于衡量卫生保健的过程和结果。有效性、安全性和以病人为中心是衡量卫生保健质量最常用的三个方面。报告指出，在对保健质量的本质的理解方面存在某些差异。这可以用不同国家对卫生保健质量、健康保险模式和卫生保健系统目标的不同概念来解释。卫生服务质量的测量是卫生服务系统绩效评估的重要内容。它提供了关于卫生保健系统中需要改进的领域和组成部分的重要信息，作为后续政策和政治决策的基础。

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Dimensions and Indicators of Quality of Health Care Used for Healthcare Systems’ Performance Assessment

Delivering high-quality health care is a central goal of all healthcare systems. Quality of health care is one of the basic components used for health system performance assessment (HSPA). Quality of health care is measured by six dimensions – effectiveness, safety, patient-centeredness, access, appropriateness, and continuity of care. This study aims to identify and systematize the most frequently used dimensions and indicators for measuring the quality of health care used for health system performance assessment. To achieve this aim the review is implemented on the base of HSPA reports from various countries and organizations as well as scientific publications related to quality of health care. Founded on the review of conceptual HSPA frameworks are identified 304 different indicators for measuring quality of health care. Most of them are focused on measuring process and outcome of health care. Effectiveness, safety and patient centeredness are the elements consist of the most used dimensions for measuring quality of health care. Certain differences in understanding of the essence of quality of health care dimensions and indicators were identified in the reports. They could be explained by the diversity of concepts of quality of health care, of health insurance models and of health care system goals in different countries. Measuring quality of health care is a key significance in health care system performance assessment. It provides important information about areas and components of the health care system which need of improvement as a basis for consequential policy and political decisions.

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来源期刊

International Journal of Health Economics and Management Multiple-

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)