Scrivens E
Centre for Health Planning and Management, Keele University, Staffordshire, UK.
Qual Health Care. 1997 Dec;6(4):212-8. doi: 10.1136/qshc.6.4.212.
The accreditation systems of the United States, Canada, and Australia have been restructured to reflect the adoption by health services of the industrial model of continuous quality improvement. The industrial model of quality makes assumptions about management structures and the relation of process to outcome which are not readily transferable to the assessment of quality in health care. The accreditation systems have therefore had to adapt the principles of continuous quality improvement to reflect the complex nature of health service organisations and the often untested assumptions about the relation between process and outcome.
美国、加拿大和澳大利亚的认证体系已经进行了重组，以反映卫生服务机构采用持续质量改进的行业模式。质量的行业模式对管理结构以及过程与结果的关系做出了一些假设，而这些假设并不能轻易地应用于医疗保健质量的评估。因此，认证体系不得不调整持续质量改进的原则，以反映卫生服务组织的复杂性以及关于过程与结果之间关系的那些往往未经检验的假设。
