中美医院医疗服务信息公开内容分析

Comparative study of hospital information disclosure between China and the United States

目的了解中美两国医院医疗服务信息公开的主要内容，为我国医院信息公开工作提供可借鉴的经验。方法系统地收集“美国医院比较网站（hospitalcompare）”及我国政府文件、统计年鉴、医院门户网站的医院信息公开资料，通过归纳法和比较分析法，从结构指标、医疗服务质量指标、患者体验评估调查3个方面，梳理中美两国向全社会免费公开的医院医疗服务信息内容。结果美国公开的结构指标丰富且有特色，其公开的医疗服务质量指标主要包括心肌梗死、心力衰竭、肺炎、儿童哮喘四大病种以及手术感染预防下的分级指标，有10大核心过程指标和9个结果指标；此外，美国还公开了10大方面的患者评估调查结果。我国公开的医院结构信息丰富，但是医疗服务质量信息缺乏；可直接比较的信息只有医院及专科排名，尚未将患者体验的结果公开。结论我国可借鉴美国医院信息公开经验，建立易理解可比较的指标体系，丰富医院信息公开内容，构建权威的统一的医院信息公开平台。

Objective To compare the contents of hospital information disclosure in China and the United States, and provide reference to improve hospital information disclosure in China. Methods Systematic collection was made for hospital information disclosure data from government documentation, statistical yearbooks, and hospital website portals like Hospital Compare of the United States and China. By means of inductive method and comparative analysis, hospital＇s medical services that were openly and freely accessible to the public of the two countries were studied in terms of structural indexes, medical quality indexes and patient experience assessment. Results The disclosed structure indexes of the US were abundant and distinctive. Its disclosed medical service quality indexes include such four diseases as myocardial infarction, cardiac failure, pneumonia and childhood asthma, as well as classification indexes under surgery infection prevention, comprising ten core process indexes and nine outcome indexes. In addition, the US also discloses patient experience survey results of ten aspects. Given the rich hospital information structure openly accessible in China, there lacks medical service quality information for disclosure. The only information directly comparable was the ranking of hospitals and specialties, instead of patient experience results. Conclusions China can learn from the experiences of American hospital information disclosure, establish an easy-to-understand and comparable index system; enrich the disclosure content, and build an authoritative and unified disclosure platform.