Knapp M, Hotopp D
Institute for Healthcare Improvement, USA.
Qual Lett Healthc Lead. 1995 Jul-Aug;7(6):23-9.
Traditionally, quality improvement principles have been used in business and healthcare settings. Nine North American cities, however, have demonstrated how these same QI principles can be applied to improving community health. Guided by a conceptual framework based on a three-question model and employing a Plan-Do-Check-Act cycle, the communities were able to develop interventions that are bringing about change in targeted populations, ranging from reducing the number of suspensions from school due to violence among youths to improving post-neonatal mortality rates.
传统上，质量改进原则一直应用于商业和医疗保健领域。然而，北美九个城市已经证明了这些相同的质量改进原则如何能够应用于改善社区健康。在基于一个三问题模型的概念框架的指导下，并采用计划—执行—检查—行动循环，这些社区能够制定出正在给目标人群带来改变的干预措施，范围从减少因青少年暴力导致的学校停学人数到提高新生儿后期死亡率。
