Gruber J L
J Healthc Qual. 1999 Jul-Aug;21(4):11-20; quiz 20, 56. doi: 10.1111/j.1945-1474.1999.tb00970.x.
Managed care organizations are striving to provide quality healthcare by establishing best-practice guidelines that decrease the variability in delivering care. Current literature provides few details on how organizations have developed and implemented guidelines and evaluated indicators. This article describes Methodist Medical Group's step-by-step approach to executing each component of this process for seven guidelines in physician office practices. It offers practical guidance for choosing a measurement method for each guideline, introduces patient surveys to measure guidelines, and identifies proven strategies for overcoming barriers in each phase.
管理式医疗组织正努力通过制定最佳实践指南来提供高质量的医疗服务，这些指南可减少医疗服务提供过程中的变异性。目前的文献很少详细说明组织如何制定和实施指南以及评估指标。本文描述了卫理公会医疗集团在医师办公室实践中针对七条指南执行该过程每个组成部分的逐步方法。它为为每条指南选择测量方法提供了实用指导，介绍了用于测量指南的患者调查，并确定了在每个阶段克服障碍的行之有效的策略。
