Helewa A
Physiother Can. 1979 Jan-Feb;31(1):5-9.
Government control over health spending and public demands for improved services have increasingly stimulated professional activity in methods of evaluating the quality of patient care. This paper discusses three distinct approaches to evaluation: evaluation of structure, process and outcome. A well-rounded system of quality appraisal should probably include concurrent or co-ordinated assessments of all three methods, to the extent that each of these is observable and measurable under the constraints inherent in any given setting. The greatest value of developmental and methodological tasks in this area may be that they channel creative activity into a critical appraisal of the content and effect of professional practice. Nonetheless, the challenge ahead is our ability to demonstrate experimentally that these activities do indeed improve the quality of care.
政府对医疗支出的控制以及公众对改善服务的需求，越来越多地激发了在评估患者护理质量方法方面的专业活动。本文讨论了三种不同的评估方法：结构评估、过程评估和结果评估。一个全面的质量评估体系可能应该包括对这三种方法的同步或协调评估，前提是在任何给定环境所固有的限制条件下，每种方法都是可观察和可测量的。在这一领域开展发展性和方法性任务的最大价值可能在于，它们将创造性活动引导到对专业实践的内容和效果进行批判性评估中。尽管如此，摆在我们面前的挑战是我们要有能力通过实验证明这些活动确实能提高护理质量。
