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首页> 外文期刊>Journal of health services research & policy >Health serwices research related to performance indicators and benchmarking In Europe
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Health serwices research related to performance indicators and benchmarking In Europe

机译：卫生服务与欧洲绩效指标和基准有关的研究

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Objective: Measuring quality of care through performance indicators and subsequently using these to compare, learn, and improve (benchmarking) has become a central component of health care policy. This paper aims to identify the main themes of health services research in this area and focuses on opportunities for improving the evidence underpinning performance indicators. Methods: A literature survey was carried out to identify research activities and main research themes in Europe in the years 2000-09. Identified literature was categorized into sub-topics and for each topic the main methodological issues were identified and discussed. Experts validated the findings and explored the potential for related further European research. Results: The distribution of research on performance and benchmarking across EU member states varies in time, scope and settings with a large amount of studies focusing on hospitals. Eight specific fields of research were identified (research on concepts and performance frameworks; performance indicators and benchmarking using mortality data; performance indicators and benchmarking related to cancer care; performance indicators and benchmarking on care delivered in hospitals; patient safety indicators; performance indicators in primary care; patient experience; research on the practice of benchmarking and performance improvement). Expert discussions confirmed that research on performance indicators and benchmarking should focus on the development of indicators, as well as their use. The research should involve the potential users and incorporate scientific approaches from biomedicine and epidemiology as well as the social sciences. Further progress is hampered by data availability. Issues which need to be addressed include the use of unique patient identifiers (UPIs) to facilitate linkages between separate databases; standardized measurement of the experiences of patients and others; and deepening collaboration between Eurostat, the Wor...
机译：目的：通过绩效指标衡量护理质量，随后使用这些来比较，学习和改进（基准测试）已成为医疗保健政策的核心组成部分。本文旨在确定该领域的卫生服务研究的主要主题，专注于改善绩效指标证据的机会。方法：在2000 - 09年度核查欧洲的研究活动和主要研究主题进行了文献调查。鉴定的文献被分类为子主题，对于每个主题，确定并讨论了主要方法问题。专家验证了调查结果，并探讨了相关欧洲研究的潜力。结果：欧盟成员国对绩效和基准研究的研究分发随着时间的推移而变化，范围和设置，具有大量研究专注于医院。确定了八个特定的研究领域（研究概念和绩效框架;使用死亡率数据的绩效指标和基准测试;绩效指标和与癌症关怀相关的基准;在医院提供的绩效指标和基准测试;患者安全指标;患者安全指标关怀;患者体验;基准和性能改进的实践研究。专家讨论证实，对绩效指标和基准测试的研究应专注于指标的发展，以及它们的使用。该研究应涉及潜在的用户，并将科学方法纳入生物医学和流行病学以及社会科学。通过数据可用性阻碍了进一步的进展。需要解决的问题包括使用独特的患者标识符（UPIS）以促进单独数据库之间的联系;标准化测量患者和其他人的经验;欧盟统计局之间的合作，欧洲统计局

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