Induction of local angiotensin II-producing systems in stenotic aortic valves
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- 作者：Satu Helske ; Ken A. Lindstedt ; Mika Laine ; Mikko Mä ; yrä ; npä ; ä ; Kalervo Werkkala ; Jyri Lommi ; Heikki Turto ; Markku Kupari ; Petri T. Kovanen
- 关键词：ACC/AHA Performance Measures ; cardiovascular diseases ; healthcare quality ; policy making
- 刊名：Journal of the American College of Cardiology
- 出版年：2004
- 出版时间：2 November 2004
- 年：2004
- 卷：44
- 期：9
- 页码：1859-1866
- 全文大小：514 K
文摘
The ability to quantify the quality of cardiovascular care critically depends on the translation of recommendations for high-quality care into the measurement of that care. As payers and regulatory agencies increasingly seek to quantify healthcare quality, the implications of the measurement process on practicing physicians are likely to grow. This statement describes the methodology by which the American College of Cardiology and the American Heart Association approach creating performance measures and devising techniques for quantifying those aspects of care that directly reflect the quality of cardiovascular care. Methods for defining target populations, identifying dimensions of care, synthesizing the literature, and operationalizing the process of selecting measures are proposed. It is hoped that new sets of measures will be created through the implementation of this approach, and consequently, through the use of such measurement sets in the context of quality improvement efforts, the quality of cardiovascular care will improve.