효과적인 의료정보의 공공 공개의 효과에 관한 논문 서머리 발표자료

소개

본글 연세대학교 예방의학과 보건학 교실에서 병원경영시간에 발표한 외국 저널 자료입니다.

목차

Introduction
Methods
Result
Discussion

본문내용

Introduction(1)
CHQC(cleveland Health Quality Choice)
1989, bzs, HOSPs, Phy’s a four-county area formed a CHQC
Health care Mkt. reform Prog. (Publicly reported)
Reliably and objectively measure and compare pt. outcomes
HOSP’s risk- adjusted Mort. rates and risk-adjusted Length of stay(LOS)
between 1991-1999
Strategy
to reliably identify the highest quality, cost-effective HOSP svc
then this inform. can be used to encourage their employees to choose these institutions for their HOSP care.
with incentive of more pt. vol. and reliable comparative inform. HOSPs will strive to maintain or improve their Q of care, while controlling their cost
Introduction(2)
CHQC prog. identified HOSPs
risk-adjusted LOS, satisfaction, risk-adjusted Mort. rate were higher than expected
Public reports of HOSP Performance were published
in the main local newspaper
made available in PHARM and over the internet
employer groups and other healthcare purchasers were not using this inform. for selective contracting
so, several HOSP withdrew from the Program in 1999 because participating cost was not justified
Introduction(3)
Other Publicly reporting Performance system affect patient volume & outcomes study
Pennsylvania
87% of cardiologists reported that public reports had minimal or no influence on their referrals for CABG
Only 12% of patient undergone CABG even aware of the existence of public reports
New York

참고자료

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