https://scholars.lib.ntu.edu.tw/handle/123456789/376461
標題: | Application of the analytic hierarchy process in the performance measurement of colorectal cancer care for the design of a pay-for-performance program in taiwan | 作者: | KUO-PIAO CHUNG | 關鍵字: | Analytic hierarchy process; Colorectal cancer; Pay-for-performance; Performance measurement | 公開日期: | 2013 | 卷: | 25 | 期: | 1 | 起(迄)頁: | 81-91 | 來源出版物: | International Journal for Quality in Health Care | 摘要: | Objective: To prioritize performance measures for colorectal cancer care to facilitate the implementation of a pay-for-performance (PFP) system. Design: Questionnaires survey. Setting: Medical hospitals in Taiwan. Participants: Sixty-six medical doctors from 5 November 2009 to 10 December 2009. Intervention: Analytic hierarchy process (AHP) technique. Main outcome measure(s): Performance measures (two pre-treatment, six treatment related and three monitoring related) were used. Results: Forty-eight doctors responded and returned questionnaires (response rate 72.7%) with surgeons and physicians contributing equally. The most important measure was the proportion of colorectal patients who had pre-operative examinations that included chest X-ray and abdominal ultrasound, computed tomography or MRI (global priority: 0.144), followed by the proportion of stages I-III colorectal cancer patients who had undergone a wide surgical resection documented as 'negative margin' (global priority: 0.133) and the proportion of colorectal cancer patients who had undergone surgery with a pathology report that included information on tumor size and node differentiation (global priority: 0.116). Most participants considered that the best interval for the renewal indicators was 3-5 years (43.75%) followed by 5-10 years (27.08%). Conclusions: To design a PFP program, the AHP method is a useful technique to prioritize performance measures, especially in a highly specialized domain such as colorectal cancer care. ? The Author 2012. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-84873415378&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/376461 |
DOI: | 10.1093/intqhc/mzs070 | SDG/關鍵字: | article; cancer size; cancer staging; cancer surgery; colonoscopy; colorectal cancer; follow up; human; job experience; major clinical study; obesity; patient care; pay for performance system; performance measurement system; preoperative period; priority journal; questionnaire; Taiwan; thorax radiography; Adult; Colorectal Neoplasms; Female; Humans; Male; Medical Staff, Hospital; Middle Aged; Perioperative Care; Pilot Projects; Quality Indicators, Health Care; Questionnaires; Reimbursement, Incentive; Taiwan |
顯示於: | 流行病學與預防醫學研究所 |
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