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引用次数: 4

摘要

确定适当的医疗保健绩效指标是判断任何医疗保健组织服务质量的基础。然而,由于医疗保健环境的动态性和利益相关者需求的复杂性,在决定衡量结果的绩效因素的适当性方面存在许多困难。然而,妨碍取得成功的业绩衡量方法的另一个方面是没有系统的指导来确定不同类型的业绩衡量之间的关系。此外,通过使用现有的电子数据集来分析这种关系非常重要,这将确保在确定医疗保健服务质量时的数据质量。这是一项正在进行的研究,试图建立一个投资回报率(ROI)模型,该模型可以促进电子医疗服务部署的绩效衡量,同时克服上述缺陷。本文介绍了考虑不同医疗保健价值角度来决定关键绩效因素的系统指导,以便为医疗保健环境(特别是在ICU临床环境中)建立ROI指标。它可以作为保证电子卫生数据源数据质量的理论基础。拟议指南的优势在于,根据可用的流程指标提取适当的关键绩效指标,用于衡量ICU临床环境的结果,而这些指标的相关数据可以从数据仓库中检索。
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Metrics for eHealth services improvement
Identification of appropriate performance measures in healthcare is fundamental for judging quality of service in any healthcare organisation. However, the dynamic nature of the healthcare context and complexity of stakeholder requirements have resulted in many difficulties in deciding appropriateness of performance factors to measure outcomes. Yet another facet that hinders achievement of successful performance measuring approaches is the unavailability of systematic guidance to identify the relationship between different types of performance measures. Further, it is important to analyse this relationship by using existing electronic data sets which will ensure the data quality in determining the healthcare service quality. This is an ongoing research attempting to establish a Return on Investment (ROI) model that could facilitate performance measurement of eHealth service deployment while overcoming the aforementioned deficiencies. The systematic guidance of deciding key performance factors considering different healthcare value perspectives in order to establish ROI metrics for the healthcare context, specifically in ICU clinical settings, have been introduced in this paper. It can be served as a theoretical basis in ensuring data quality in eHealth data sources. The advantage of the proposed guidance is in extracting appropriate key performance indicators for measuring outcomes of ICU clinical settings in terms of available process indicators while the relevant data for these indicators could be retrieved from the data warehouse.
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