基于医疗服务绩效信息透明的质量促进效果研究综述

Using the method of descriptive review, the promoting effect of the transparency of medical service performance information on medical quality in the past 10 years was summarized. Databases such as Web of Knowledge and Pubmed were searched according to the inclusion and exclusion criteria, and finally 31 closely related literatures were included. The results showed that in foreign countries, medical service performance information was generally disclosed to the public through medical report cards or websites, which improved the medical service behavior, but had a limited effect on patients' choice of service providers and the improvement of clinical outcomes. China should formulate relevant policies to promote the disclosure of medical service performance information to a wider range of users and guide patients to use medical service performance information to choose medical service providers.

利用描述性综述的方法,总结近10年来医疗服务绩效信息透明对医疗质量促进效果,根据纳入排除标准检索Web of Knowledge、Pubmed等数据库,最终纳入31篇密切相关文献。结果表明,国外一般通过医疗报告卡或网站向公众公开医疗服务绩效信息,改善了医疗服务行为,但对病人选择服务提供者和临床结果的改善作用有限。我国应制定相关政策,推动医疗服务绩效信息向更广泛的使用者公开,引导病人利用医疗服务绩效信息选择医疗服务提供者.