Mainz J, Kjaergaard J, Knudsen J L
Aarhus Universitet, Institut for Almen Medicin.
Ugeskr Laeger. 1999 Oct 4;161(40):5536-42.
In a modern health care system continuing measurement and monitoring of relevant clinical data comprise the base of documentation for the quality of care. Internationally there has been increasing focus on monitoring and measuring the quality of care using principals from clinical epidemiology, including quality monitoring using clinical indicators. Indicators can be derived with regard to structure, process and outcome. The indicators should be in a form which can be used within the individual department and for comparison between hospitals nationally and internationally. The idea of professional indicators is to be able to track developments over time, as well to be able to respond at relevant times. The work with quality indicators will support continuing work with quality development in the medical specialities as well as giving a possibility for dialogue between politicians, the management system and the medical specialities about priority of resources and the structure of the hospital system, which extend further than the simpler issues of finance, which have been dominating until now.
在现代医疗保健系统中，持续测量和监测相关临床数据构成了医疗质量文档的基础。在国际上，人们越来越关注运用临床流行病学原理监测和衡量医疗质量，包括使用临床指标进行质量监测。指标可以从结构、过程和结果方面得出。这些指标应以一种能够在各个科室使用并用于国内和国际医院之间比较的形式呈现。专业指标的理念是能够跟踪一段时间内的发展情况，并能够在相关时间做出响应。质量指标工作将支持医学专业持续开展质量改进工作，也为政治家、管理系统和医学专业之间就资源优先级和医院系统结构进行对话提供了可能，这一对话涉及的范围比迄今为止一直占据主导地位的简单财务问题更为广泛。
