美国医疗服务绩效评价体系的循证研究及对我国的启示

Evidence-Based Research on US Healthcare Service Performance Evaluation and Its Enlightenments to China

目的总结和分析美国医院绩效评价和工作报告的经验和方法,为我国建立客观、科学、有效的医院绩效评价体系,加强我国政府对医疗服务的监管,促进医院健康发展提供决策参考。方法计算机检索美国官方网站和相关数据库,纳入美国医院绩效评价相关制度、研究报告等文献进行总结分析。结果美国典型的医院绩效评价和报告体系包括国家医疗质量报告、医疗保健提供者与系统的消费者评估项目、医疗卫生效果数据和信息收集系统,Leapfrog Group评价体系以及汤姆森路透百强医院评选。结论美国医疗服务绩效评价体系对我国的启示包括:①对绩效考核工作的重视;②绩效考核结果的应用方式;③相对科学的绩效评价方法及综合绩效考核内容。

Objective To summarize and analyze the working experience of hospital performance evaluation and reporting system in America,so as to provide decision support to China on such work as establishing objective,scientific and effective hospital performance evaluation system,strengthening government＇s supervision to health service,and promoting hospitals＇ sound development.Methods American official websites and databases were searched to include relative policies,reports and documents on hospitals＇ performance evaluation.Results Typical hospital performance evaluation and reporting system in America included National Healthcare Quality Report（NHQR）,Consumer Assessment of Healthcare Providers and System（CAHPS）,Healthcare Effectiveness Data and Information Set（HEDIS）,Leapfrog Group Evaluation System and Thomson Reuters 100 Top Hospitals.Conclusion The enlightenments of American performance performance evaluation systems to China include： a） more attention should be paid to performance evaluation;b） combined evaluation models and results application methods should be considered;c） comparatively scientific evaluation methods and comprehensive evaluation contents should be established.