Johnston N H, Narayan K M, Ruta D A
Department of Public Health Medicine, Grampian Health Board, Aberdeen.
Qual Health Care. 1992 Dec;1(4):225-30. doi: 10.1136/qshc.1.4.225.
To develop structure, process, and outcome indicators within a quality rating index for audit of public health medicine.
Development of an audit matrix and indicator of quality through a series of group discussions with public health physicians, from which self administered weighted questionnaires were constructed by a modified Delphi technique.
Five Scottish health boards.
Public health physicians in the five health boards.
Indicators of quality and a quality rating index for seven selected service categories for each of seven agreed roles of public health medicine: assessment of health and health care needs in information services, input into managerial decision making in health promotion, fostering multisectoral collaboration in environmental health services, health service research and evaluation for child services, lead responsibility for the development and/or running of screening services, and public health medicine training and staff development in communicable disease.
Indicators in the form of questionnaires were developed for each topic. Three types of indicator emerged: "global," "restricted," and "specific." A quality rating index for each topic was developed on the basis of the questionnaire scores. Piloting of indicators showed that they are potentially generalisable; evaluation of the system is under way across all health boards in Scotland.
Measurable indicators of quality for public health medicine can be developed.
制定用于公共卫生医学审计的质量评级指数中的结构、过程和结果指标。
通过与公共卫生医师进行一系列小组讨论来制定审计矩阵和质量指标，然后采用改良的德尔菲技术构建自填式加权问卷。
五个苏格兰卫生委员会。
五个卫生委员会中的公共卫生医师。
针对公共卫生医学七个商定角色中的每一个角色的七个选定服务类别的质量指标和质量评级指数，这些角色包括：信息服务中对健康和医疗保健需求的评估、健康促进中对管理决策的投入、环境卫生服务中促进多部门合作、儿童服务的卫生服务研究与评估、筛查服务开发和/或运营的主要责任以及传染病方面的公共卫生医学培训和人员发展。
为每个主题制定了问卷形式的指标。出现了三种类型的指标：“总体”、“受限”和“具体”。根据问卷得分制定了每个主题的质量评级指数。指标试点表明它们具有潜在的通用性；苏格兰所有卫生委员会正在对该系统进行评估。
可以制定公共卫生医学的可衡量质量指标。
