Refocusing quality measurement to best support quality improvement: local ownership of quality measurement by clinicians

摘要

Recent years have seen unprecedented efforts to measure healthcare quality and to link such measurement to improved care delivery. The methodological and pragmatic complexities of these efforts have led to major debates: which 'dimensions' of quality to measure; whether to focus on processes or outcomes; which outcomes to prioritise-traditional clinical outcomes or more patient-centred ones; and, perhaps most important, how to link measurement to action through policy, professional and management levers.