个性化的加权可以增强医院评级工具
(健康日) - 根据8月30日发表的透视文章,底层医院绩效评级工具的加权系统应纳入需求,价值观和患者的需求,价值观和偏好新英格兰医学杂志。
注意到使用加权系统医院评分currently reflect the preferences of their creators rather than patients, Juliet Rumball-Smith, M.B.Ch.B., Ph.D., from the Northland District Health Board in Whangarei, New Zealand, and colleagues created a demonstration of an interactive system based on the 2016 version of the Centers for Medicare & Medicaid Services' Overall Hospital Quality Star Rating System, available on Hospital Compare. The original system combined 57 process and outcomes measures into seven domains of quality (mortality, safety of care, readmissions, patients' experience, timeliness of care, effectiveness of care, and efficient use of medical imaging) with weights chosen to align with existing CMS policies and priorities.
该团队创建了一个系统,即可将每个用户基于各个需要,值和偏好实时修改整体性能分数。每个用户都可以设置自己的权重(从100,50,22,4和0点选择,对应“非常重要”,“非常重要”,“非常重要,”“最重要的”,“微不足道”和“不重要”。)该团队随后将重新计算医院对于每种可能的权重组合来突出一些例子。
“通过允许这样的个性化,绩效报告的创作者可以提高他们的整体评级和排名对可能使用它们的消费者的价值,”作者写道。
一位作者向消费者报告披露了财务关系。
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