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医学审计(医疗保健评估)的原则与实践

Principles and practice of medical audit (medical care evaluation).

作者信息

Srivastava M, Sharma D K

机构信息

Dte. Gen. of Medical Services, Army Headquarters, New Delhi.

出版信息

J Acad Hosp Adm. 1992 Jan;4(1):33-8.

PMID:10130922
Abstract
  1. Medical audit is a philosophy in the field of medical science which has reached to an advanced stage of practice in Western World, but yet to reach and percolate into Indian medical community. 2. Of late, community is getting increasingly aware of its health rights, gradually community participation in health matters including quantum and quality of case, has started increasing. Thus community leaders have started demanding for quality of medical care and accountability of those, responsible for delivery of medical care at various levels. 3. Medical audit or Evaluation of medical care is an answer to ensure the quality of care. But there are misgivings and distrust about medical audit due to its terminology. 4. There is need to education the medical, nursing and paramedical staff regarding medical audit and its sole purpose of self education and improvement of patient care activity. The present paper spells out fundamentals of medical audit, its scope and limitations.
摘要
  1. 医学审计是医学领域的一种理念,在西方世界已发展到先进的实践阶段,但尚未进入并渗透到印度医学界。2. 近来,社区越来越意识到自身的健康权利,社区对健康事务的参与,包括病例数量和质量,已开始增加。因此,社区领袖已开始要求提高医疗质量,并要求各级医疗服务提供者承担责任。3. 医学审计或医疗保健评估是确保医疗质量的一种方式。但由于其术语,人们对医学审计存在疑虑和不信任。4. 需要对医疗、护理和辅助医疗人员进行医学审计教育,以及让他们了解医学审计自我教育和改善患者护理活动的唯一目的。本文阐述了医学审计的基本原理、范围和局限性。

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