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Titolo:
Towards case-based performance measures: uncovering deficiencies in applied medical care
Autore:
Hoelzer, S; Waechter, W; Stewart, A; Liu, R; Schweiger, R; Dudeck, J;
Indirizzi:
Univ Giessen, Inst Med Informat, D-35392 Giessen, Germany Univ Giessen Giessen Germany D-35392 Informat, D-35392 Giessen, Germany Amer Coll Surg, Commiss Canc, Chicago, IL USA Amer Coll Surg Chicago IL USA r Coll Surg, Commiss Canc, Chicago, IL USA Univ Chicago, Sch Med, Chicago, IL 60637 USA Univ Chicago Chicago IL USA 60637 Chicago, Sch Med, Chicago, IL 60637 USA
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 4, volume: 7, anno: 2001,
pagine: 355 - 363
SICI:
1356-1294(200111)7:4<355:TCPMUD>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
CANCER-DATA-BASE; DIFFERENTIATED THYROID-CANCER; ACUTE MYOCARDIAL-INFARCTION; QUALITY MANAGEMENT; COMMUNICATION STANDARDS; COLORECTAL-CARCINOMA; CLINICAL-PRACTICE; PATIENT-CARE; ONCOLOGY; GUIDELINES;
Keywords:
actual care; case-based measures; information technology; outcome; performance measures; population-based measures; variations of health care services;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
46
Recensione:
Indirizzi per estratti:
Indirizzo: Hoelzer, S Univ Giessen, Inst Med Informat, Heinrich Buff Ring 44, D-35392Giessen, Germany Univ Giessen Heinrich Buff Ring 44 Giessen Germany D-35392 any
Citazione:
S. Hoelzer et al., "Towards case-based performance measures: uncovering deficiencies in applied medical care", J EVAL CL P, 7(4), 2001, pp. 355-363

Abstract

Measures are designed to evaluate the processes and outcomes of care associated with the delivery of clinical (and non-clinical) services. They allowfor intra- and interorganizational comparison to be used continuously to improve patient health outcomes. The use of performance measures always means to abstract the complex reality (medical scenarios and procedures) in order to provide an understandable and comparable output. Measures can focus on global performance. The more detailed data are available the more specific judgements with respect to the appropriateness of clinical decision-making and implementation of evidence are feasible. Externally reported measuresare intended both to inform and lead to action. By providing this information, deficiencies in patient care and unnecessary variations in the care process can be uncovered. Such variations have contributed to disparities in morbidity and mortality. The developments in information technology, especially world-wide interconnectivity, standards for electronic data exchange and facilities to store and manage large amounts of data, offer the opportunity to analyse health-relevant information in order to make the delivery ofhealthcare services more transparent for consumers and providers. Global performance measures, such as the overall life expectancy (mortality) in a country, can give a rough orientation of how well health systems perform butthey do not offer general solutions nor specific insights into care processes that have to be improved. In contrast to population-based measures, case-based performance measures use a defined group of patients depending on specific patient characteristics and features of disease. By means of these measures we are able to compare the number of patients that receive a necessary medical procedure against those patients who do not. The use of case-based measures is a bottom-up approach to improve the overall performance inthe long run. They are not only a toot for global orientation but can offer a straightforward link to the areas of deficient care and the underlying procedures. Performance measures are relevant to providers as well as consumers, from their own individual perspective. Cased-based measures focus on the management of individual patient. This approach to performance measurement can inform physicians in a meaningful and constructive way by monitoring their individual performance and by pointing out possible areas of improvement.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 13:52:43