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首页> 外文期刊>International Journal for Quality in Health Care >Selecting indicators for the quality of diabetes care at the health systems level in OECD countries
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Selecting indicators for the quality of diabetes care at the health systems level in OECD countries

机译：在经合组织国家中选择卫生系统一级糖尿病护理质量的指标

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Purpose. In the context of the Organization for Economic Cooperation and Development (OECD) Quality Indicators Project, a set of quality indicators for diabetes care was developed, to be used for benchmarking the performance of health care systems. Background. Diabetes complications markedly reduce quality and length of life and are also responsible for enormous health care costs. A large body of evidence has shown that several effective treatments and practices may substantially reduce this burden. However, a marked variability has been documented in preventive and therapeutic approaches, thus suggesting that the level of diabetes care currently delivered may not produce the possible health-related gains. Methods. Existing quality indicators have been reviewed, with particular attention to the work done by the National Diabetes Quality Improvement Alliance (NDQIA) in the US. All the measures identified were evaluated for their importance, scientific soundness, and feasibility. In addition, the panel members selected new distal outcome measures. These measures are currently not used in provider comparisons, but they could reveal valuable insight into the differential performance of health systems. Results. Four process and two proximal outcome measures were selected among those endorsed by the NDQIA. In addition, three new long-term outcome measures have been proposed to gain insight into whether and to what degree differences in the processes and intermediate outcomes that are captured by the established measures translate into better outcomes for patients. Conclusions. The measures selected can contribute to policymakers' and researchers' understanding of differences in the quality of diabetes care between health systems. Further work is required to assess the availability of reliable and comparable data across OECD countries.
机译：目的。在经济合作与发展组织（OECD）质量指标项目的背景下，制定了一套糖尿病护理质量指标，用于对卫生保健系统的性能进行基准测试。背景。糖尿病并发症显着降低了生命质量和寿命，也造成了巨大的医疗费用。大量证据表明，几种有效的治疗方法和做法可以大大减轻这种负担。但是，在预防和治疗方法中已记录了明显的变异性，因此表明当前提供的糖尿病护理水平可能不会产生与健康相关的可能收益。方法。对现有的质量指标进行了审查，尤其关注美国国家糖尿病质量改善联盟（NDQIA）所做的工作。评估所有确定的措施的重要性，科学合理性和可行性。此外，小组成员选择了新的远端结局指标。这些措施目前未用于提供者比较中，但它们可以揭示出对卫生系统差异绩效的宝贵见解。结果。在NDQIA认可的方法中，选择了四个过程和两个近端结局指标。另外，已经提出了三种新的长期结果指标，以了解由既定指标所捕获的过程和中间结果差异是否以及在何种程度上可以为患者带来更好的结果。结论选择的措施可以帮助决策者和研究人员了解卫生系统之间糖尿病护理质量的差异。需要做进一步的工作来评估OECD国家中可靠和可比较的数据的可用性。

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