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Assessing health quality: the case for tracers

机译:评估健康质量:示踪剂的情况

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David Kessner and colleagues’ paper can be safelyrnelected to the health services research ‘hall of fame’,rnsince the ‘tracer’ concept it proposed is now taken forrngranted as a tool for assessing health care quality. Thernauthors proposed that a set of common health problemsrnbe chosen as tracers of quality. Medical records forrnpatients with these problems would be sampled andrnreviewed, and actual care compared with a predeterminedrnminimal standard of good practice. The examplernthe authors used was the care of hypertension in arnneighbourhood clinic where they found that 30% ofrnpatients’ care did not meet minimal requirements forrngood care. They suggested that this approach could bernused to compare care between providers.rnThe authors proposed that tracers should be frequent,rnwell defined conditions affected by medical care, withrnagreed appropriate care and with a known epidemiology.rnThey suggested conditions such as otitis media, visualrndisorders, iron deficiency anaemia, hypertension andrncervical cancer be used as tracers.rnThe 30 years since this publication have seenrntransformation of the tracer idea in response to widerrnchanges in health care systems and health care analysis.
机译:大卫·凯斯纳(David Kessner)及其同事的论文可以安全地应用于健康服务研究的“成名殿堂”,因为它提出的“示踪剂”概念现在被认为是评估卫生保健质量的工具。作者建议选择一系列常见的健康问题作为质量的追踪者。将对具有这些问题的患者的病历进行抽样和审查,并将实际护理与预定的良好实践最低标准进行比较。作者使用的例子是在邻里诊所的高血压护理中,他们发现30%的患者护理没有达到良好护理的最低要求。他们建议使用这种方法来比较提供者之间的护理。作者建议追踪者应经常使用,明确定义的条件会受到医疗保健的影响,没有适当的护理,并且应具有已知的流行病学。rn他们提出了诸如中耳炎,视觉障碍,铁的条件缺乏性贫血,高血压和宫颈癌可用作示踪剂。自从该出版物问世以来的30年间,随着医疗保健系统和医疗保健分析领域的广泛变化,示踪剂理念发生了转变。

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