文章基本信息

标题：Improving regional variation using quality of care measures
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作者：Scott A Berkowitz ; Gary Gerstenblith ; Robert Herbert 等
期刊名称：Risk Management and Healthcare Policy
印刷版ISSN：1179-1594
电子版ISSN：1179-1594
出版年度：2009
卷号：2
页码：91-96
DOI：10.2147/RMHP.S6583
出版社：Dove Medical Press Ltd
摘要：There is significant regional variability in the quality of care provided in the United States. This article compares regional performance for three measures that focus on transitions in care, and the care of patients with multiple conditions. Admissions for people with ambulatory care-sensitive conditions, hospital readmissions within 30 days of discharge, and compliance with practice guidelines for people with three chronic conditions (congestive heart failure, chronic obstructive pulmonary disease, and diabetes) were analyzed using data drawn from the Centers for Medicare & Medicaid Services’ Standard Analytic Files for 5% of a 2004 national sample of Medicare beneficiaries which was divided by hospital referral regions and regional performance. There were significant regional differences in performance which we hypothesize could be improved through better care coordination and system management.
关键词：performance; quality; chronic condition; ambulatory care; sensitive conditions; readmissions