Benchmarking facilities providing care: An international overview of initiatives:

SAGE Open Medicine

FrédériqueThonon¹ 

关键词: Health-care benchmarking;    quality improvement;    hospitals;    health facilities;    quality indicators;   

DOI  :  10.1177/2050312115601692

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

We performed a literature review of existing benchmarking projects of health facilities to explore (1) the rationales for those projects, (2) the motivation for health facilities to participate, (3) the indicators used and (4) the success and threat factors linked to those projects. We studied both peer-reviewed and grey literature. We examined 23 benchmarking projects of different medical specialities. The majority of projects used a mix of structure, process and outcome indicators. For some projects, participants had a direct or indirect financial incentive to participate (such as reimbursement by Medicaid/Medicare or litigation costs related to quality of care). A positive impact was reported for most projects, mainly in terms of improvement of practice and adoption of guidelines and, to a lesser extent, improvement in communication. Only 1 project reported positive impact in terms of clinical outcomes. Success factors and threats are linked to both the benchmarking process (such as organisation of mee...

【 授权许可】

CC BY