Freed D H
Overlook Health System, Summit, NJ.
Hosp Mater Manage Q. 1995 Feb;16(3):71-81.
Quality underlies diverse efforts to repair the troubled health care system, yet the many abstract definitions offered are not particularly useful. A better approach is to evaluate quality in an applied or situational context. This article offers six propositions that establish such a context and explain why the current health care environment is so volatile. Some parallels between health care and the emerging field of science called chaos theory are drawn as a possible future basis for recognizing order in the health care system.
质量是修复陷入困境的医疗体系的各种努力的基础，但所提供的众多抽象定义并非特别有用。一种更好的方法是在应用或情境背景下评估质量。本文提出了六个命题，建立了这样一种背景，并解释了当前医疗环境为何如此动荡。文中还探讨了医疗保健与新兴的混沌理论科学领域之间的一些相似之处，作为未来在医疗体系中识别秩序的可能基础。
