How to detect the variation in the quality of care in all major health care systems (Schuster, Marshall, Cambell, &Roland,1998; Seddon, Marshall, Cambell, & Roland, 2001) is another main issue to be discussed. United Kingdom (Doran et al, 2006) introduced a pay-for-performance contract for family practitioners according to performance with respect to 146 quality indicators covering clinical care for 10 chronic diseases, organization of care, and patient experience.

將手筆測驗放在電腦上去測驗,是CBT;利用IRT技術的CBT是CAT(電腦化適性測驗),Web-Kidmap是將CAT予以批次處理的IRT之應用, 尤其是用在self-rating的量表,最為適當.
CAT要找適當的items去設計題庫,取出題目的困難度估計而成為所謂的CAT模式. Web-Kidmap也是以適當的測量常模,經由Rasch分析出來的適當題目, 取出題目的困難度估計而成為所謂的Web-Kidmap模式, 與CAT比較的題庫成本及曝光性來說, Web-Kidmap會更經濟與實用,尤其是比較個人與常模的相對位置:潛能, Infit及Outfit, 釋放出更多有意義的訊息.

http://www.healthup.org.tw/leapfrog/
iHOPE是醫療院所對病人就醫權益,品質及安全的報告提供系統,以美國leapfrog為機關團體購買醫療及Picker的病人為中心之品質報告精神,利用心理計量學的Rasch分析技術與測量,揭露醫療院所隸屬的醫院層級與健保分局間,及醫療院所內的排名與分析.