Keitel W
Z Arztl Fortbild Qualitatssich. 1999 Mar;93(2):141-4.
Coming from a collection of letters for quality assurance in rheumatology, a provisional program by the Commission for Quality Assurance of the German Society for Rheumatology is introduced. The completion and supplementation of the manual has been started already. The necessary continuation of this process shall be undertaken via internet. Contacts with other medical societies are planned to improve the consensus of the guidelines and to work on comprehensive topics of global interest. General practitioners and self-help groups for patients should be consulted to optimize this project. Specific controversially discussed procedures for diagnosis and therapy have to be clarified by prospective studies. Finally, the result of this project has to be reviewed by using the criteria for the assessment of guidelines developed by the Society of Physicians of Germany resulting in evidence based guidelines. The most important aspects of a comprehensive quality management in practices for rheumatology, rheuma- and rehabilitation hospitals are pointed out.
本文源自一组用于风湿病质量保证的信函，介绍了德国风湿病学会质量保证委员会的一项临时计划。手册的编写和补充工作已经启动。这一进程的必要延续将通过互联网进行。计划与其他医学协会进行联系，以提高指南的共识，并就全球关注的综合主题开展工作。应咨询全科医生和患者自助团体，以优化该项目。对于诊断和治疗方面存在争议的特定程序，必须通过前瞻性研究加以明确。最后，该项目的结果必须根据德国医师协会制定的指南评估标准进行审查，从而形成循证指南。文中指出了风湿病、风湿与康复医院实践中全面质量管理的最重要方面。
