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  • 醫療品質報告卡之風險校正

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    醫療品質報告卡之風險校正

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    © All Rights Reserved
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    15 views16 pages

    醫療品質報告卡之風險校正

    Uploaded by

    J CHANG
    醫療品質報告卡之風險校正

    Copyright:

    © All Rights Reserved
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‘monotonicity)[75,80] * JEL + FLAS BABEE (diagnosis related groups, DRGs)fF Je RI AER, BAS LAIR + PIRUELixhauserS ARNT SOPHIE Elixhauser’s index)[81] + (AAG WRBR DRG » TE WIOMNI BERLE hy WLESORTIRRRIIHGS » ET ERIAHRORR 22 Getic PTFE npatient Quality Indicators, Qs) 85 A 222 FHHR (Patient Safety Indicator, PSD + EGTHBM EF] SEEZAPR-DRGIT HEL FRR TE RoR IO SL FL» ASME THEA IE HABE [4,82] » FL RARE PSE & NBS AZ I a SR + (eRe RITASHEEMR IA AHROQA (HIS HR + LALEDLAPR-DRGfE By URS FETT SEDGE EAS BURBCE » AEM SENSU BOE Fi#I5) ASR ts 5 EE ZR + ‘AIMEE 2015, Vol34, Nos (Bes On eee AEP EBA EA ZR IT» RUE HESS Hie RMIT + PER MIS FBR VonkorffS ARS 19924F HEH» ASAI Ii BEST LEAT FE ESE ARE ASTER + SRR TARARIES TEIN » SE FUG PH RUE TA RE + eT Chronic Disease Seore (CDS)[83] » #4 EEA AEH AC ARE Vonkorf ANA SET IML Stie + HELLAS nie TT BE + PAIClark = BUR Vonkorf fit » AE TRE BANS SY E28» Th AAT EE STATHAM TALL PS EA SHE [84] © Fishman? A FE#Chronie Disease Seorefi 7385 FHL 5 BEE SB 7S > JARRE RESCUE Rx Risk model[56] ° Schneeweiss AAR RMET GHEADF BIRR AAR + FTC (BRIS RF ear a Ts a TES sU85] © “E3814 ¥ (physiological risk factors)At SS Za AE A ARS ASSAF NZ + BE ‘LSEULME + DUELS + MLAS fe BRET Bi) AUR A ESE ELG}(Veterans Health Administration, VHA)S2E8 £28134 {8 FA5 TE ASE: ARTE SP AT EER ‘EE BAB BEE BY 757: [26,27,86] ° TARE ‘BEHEAEGelf-reported health status) + LFF ASTER aE ERR RU > EE LAG Fa BORE ERY fs + AL ASE FF A MERE (perceived health status) Activities of daily living (ADL) * instrumental activities of daily living (ADL) SS)f8 EEE ANE Cunctional health status IAL © ARENA Zee CEE T BE i BO RCTE RISES» SEAR BRACE NY JT EA ET BE SUS + (ELAS A SLOTS AE» DUES: + VULGAR « SORRELL + FR hts ES ES SLE TAS RB RL WF» ARS SELB ET BAST] + TI 381 aur AL aR: eR SSPePTECEA administrative datays2 LOBE SEIRLGEARENE + KAEWPPIAS (case-mixy ROTH LAPIS] « TRB + LI RDFA LAIR His HFN ATB] « (LELATTTRIGELL + DL ‘PRUE ROS SEA REE BRL TUDE USER REE RE SEO] + ORLA PETIA LITEM » IRR SERRE RRR IRERR, > SURES HRARBOR MULE TWEE ACER EAT MAE He AR SEE A A eB EY BAY BRERA RAT A PTO (91) © BARDEM AABLE + EYESTAIES FBS ECAR SURE ISIEBDEL » IAPS RE SRGTAEBIE » (CEE a FISTS» SURGE LAE Fe > (USERS ATEER RAY RAS SCL RAG RPAH REIROD] + HHannan™ A DURDEATECEER TCA BG SL FINITE BR » RETO RETA Bt TSIELT FASE LOOTIN + MERLE CISPR HETIL comorbidity) ENE » LAMM LEAT BZ IME RUT SETIO3] » H SU (TP TE a ETA LOBES + ER PURI GR EF FH BE ASL CEG By 8 FANT BRR ae FEA PRAY + EDERAL ERIS = EE EE PIN RAG (i > ELAS PEASE + HUMOR HSE Bit PDR ame eT a BBE Ley RAGED [94] « BANCRMI » HS HERSEY Ale ET AE ATLAS DHS + AGIA ERE s (reliability AYA [95,96] + AAR TASHA CPR TAS) Ci AEE)» ADE EEE ERAGE + BCH ACA SEE EB BRIER "MEM (noise) TIRE T RR MEL > HUN SCRA TY HE EDR TENS [97] » HEE PUTTER ERAS SE « RRS LHe THSHR BURBCERS + BRSCOMEL ESN RRO KTRS SME - ATTA CE DES B06 LLL P98] » HAT HESE PRR TNS IT + FT ELL Bet HE300 IDL EI + iv ETRS AGHA PTE WHELO9] = CELA PTET BEE BAY A OSES Bre) B45 208[ 100] 225 F1[100-103] © 8 ARE » WES) Rh FAIALLO4] ° MOA SCAE LA FS FB CTE A RAF + SARI RO) AL IET USF ILE + fIAICMS- HCC3RAPR-DRG + EC BiPe BCE THEA LE AF SS HTT UPAR + (ELMS ABE ELBE + Bie EBT BOD» SST — UR ATOTIS LAs ASS» AT Charlson Comorbidity Index3Elixhauser’s Index » EPR FY DUPE Bs ba By UU BASES A, PRES FHT EL » ELSE GS TA aE FUROR > HS LUBE BOG By + CERT SRL ATOR + PIANRICM SHES He CUBE. 2 30 FECES ETA CAF afl > LRH » COPD » PHIM + EE + RES LES» LER AL 837A Protein-calorie malnutrition) > 3 — FEL Mi (Trauma) eae it ASBURY > El nyt) BRI LT. 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  • DUBIN BIE EZ FBR + HL aR SER BASSE SAE EET BLE, + SULTS WG LSTA E108] » ABR BCEM ARR SUT ARERR ESC ZANE TR SE TYG Z RIFE T BCE » aa FE + BORNE!) SZ FA» ARRAY > PURUAE TH HSM ZA + HES BUTT + aur AL aR: eR SERENA Ta Rh STRATA + PISSRCIE ZSR * RRA EE TES eT EA ETT ee RRA CES EPRI ZOR » EAT ABR ES HSK SR ESB EBRCE RFR EEL + ASTFURES 3 DE ABES BEL i EA BEEPS Za TERR + OL A PAZ + BIA ER GR SeyfFE + ACER] wae SABER + FEL BRL SHITE « 8 SUBRBEIECrisk adjustment fy FAVRE BE POOR IA INR TSR HY ORE + BY FRE BRP + ATE ELADELS + GAPE ATT AE Rai AFTER TSS > (A AUCH » EDGES [BOREL FRASIER » CEA ADSL » ASB TRIE > ETRE SEER PRATER [39,59] » RIE I SHG EY TERM « FSGS > BAAR FAUBRBETEDRSL + (EMMA ETH ELZ TLE + elec TF FARES EA ETAL FR RERENIZEFE [8] + REIT OPI BE Bei ET 46S Bie SR + SHUTS EFS LORETO + SEA ETE TT Bib in RK ZI BRBETENRE > OY LAR RHR SCHR. HR, AEWG + HENGE AUREL PHT RTE > GB (THSEAS IE + BOARS » AUER F + PUREE TSHR ES EZRA « x w AS SC EG BH BT FA UR EE CR 10346 SEBS ACME a ae AE RRR I i FHA ZS a aE + MOHW 103-NHI-S-114-000006 2 HSH 8 DEATH GT HMASE + 103-2410-1-002-216-) ZIRE» S84 sem [Leavitt MO. Report to Congress: improving the Medicare quality improvement organization program - response to the Institute of Medicine Study, 2006, Available at: htip:/www.ems.hhs, gov/QualityImprovementOrgs/downloadsiQlO_ Improvement_RTC_fnl.pdf, Accessed Feburary 12, 2008. Agency for Healtheare Research and Quality, Measuring healtheare quality: Available at: http) \www.aheg.gow/quallmeasuris.himfquality: Accessed December 27, 2010, Centers for Medicare & Medicaid Services, Hospital compate. Available at: butpss/wwwems. g0/HospitalQualitylaits!11_HospitalCompare asp TopOtPage, Accessed December 27, 2010, Vasileyskis BE, Kuzniewiez MW, Dean ML, et al Relationship between discharge practices and intensive care unit in-hospital morality performance: ‘evidence of a discharge bias, Med Care 2009:47:803- 12, doiz10,1097/MLR.Ob013¢3181839454, Ross JS, Sheth S, Krumbolz HM, State-sponsored public reporting of hospital quality: results are hard Health AfT (Millwood) 2010;29:2317-22. doi:10.1377hlthall.2010.0564. 6. ENA + 5101 ALTE — RE RR 1081 AGS TEAR ATH BEKAB 2011 5 18 : 89.95 © Wang YR. Toward the new era of the Second Gener. ation National to Find and lack uniform lth Insurance - introduction to key points in the January 2011 revision of the National Health Insurance Act. J Law Med 2011;18:89-95, [In Chinese] 7.Goss MEW, Reed JI. Evaluating quality of hospital care through severity-adjusted death rates: some pitfalls. Med Care 1974;12:202-13. dois 10,1097/00005650- 197403000-00002, 8. HF FARR Rh OR HS EA : 21 SSETBEREH « dod = MIEEMBEISS » 2012 Advisory Couneil for Healthcare Research and Quality, Ministey of Health and Welfare, ROC. (Taiwan), 2012 White Paper on Healthcare Quality Policy. Taipei: Ministry of Health and Welfare ROC. (Taiwan), 2012. [In Chinese) 9. Nightingale F. Notes on Hospitals. 3d ed, London: Longman, Green, Longman, Roberts, and Green, 1863, 10.Epstein A. Performance reports on quality- prototypes, problems, and prospects. N EIOMRIRE 2015, Vol34, No.6, Engl J Med 1995;333:57-61, doi: 10.1056) NEIM199507063330114, Shahian DM, Edwards FH, Jacobs JP, et al Public reporting of cardiac surgery performance part I~ history, rationale, consequences. Ann Thorac Surg 2011;92:S2-11. doi: 10.1016) {athoraesu2011.06, 100, 12, Marshall MN, Shekelle PG, Davies HT, Smith PC. Public reporting on quality in the United States and the United Kingdom, Health AfT (Millwood) 2003;22:134-48, doi: 10.1377 /lthafl.22.3.134. 13. Codman EA. A Study in Hospital Efficiency: As Demonstrated by the Case Report of the Fist Five ‘Yeats ofa Private Hospital, Oakbrook Terrace, IL: Joint Commission on Accreditation of Healtheare Organizations, 1996; 225, 14. Codman EA. The classic: a study in hospital ficiency: as demonstrated by the ease report of first five years of priv ta. Clin Orthop Relat Res 2013}471:1778-83. dois 10.1047/s11999-012-2751-3, 15. Thomas JW, Hofer TP, Research evidence on the validity of risk-adjusted mortality hos rate as a measure of hospital quality of care. Med Care Res Rev 1998;88:371-404 dic 10, 1177/107758879805S00401, 16, Gregory J. Dehmer public reporting in interventional cardiology. JACC Cardiovase Interv 2013:6:631-3, oi: 10,1016), jein.2013.02.017. 17. Blumberg MS. Comments on HCEA hospital death rate statistical outliers. Health Care Financing, Administration, Health Serv Res 1987;21:715.39. 18, Shahian DM, Normand SL, Torehiana DF, etal Cardiac surgery report eards: comprehensive critique. Ann Thorac Surg review and statisti 2001;72:215568, 19, Shahian DM, Blackstone EH, Edwards FH, etal. Cardiac surgery risk models: a position article Ann Thorac Surg 2004;78; 1868-77, doi:10,1016/ Jathoraesur2004,05.054, 20.Salzer MS, Nixon CT, Sehut LJ, Karver MS, Bickman L, Bickman validating quality indicators: quality as relationship between structure, process, and outcome, Eval Rev 1997.21:292-308,

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