Moeller J, Breinlinger-O'Reilly J, Elser J
School of Public Health, University of Bielefeld, Bielefeld, Germany.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 2000;13(6-7):254-8. doi: 10.1108/09526860010373226.
A brief insight into the issues affecting German health care is given. Namely, upward pressure on costs leads to increasing expenditure within health care and downward pressure from economic recession and political unwillingness to increase taxes and budget spending. In the case of competing key stakeholder perspectives, a quality management framework is seen as a potential approach for addressing these issues. The framework is the European Foundation for Quality Management (EFQM) Excellence Model. The article briefly explains the pilot phase for utilising the EFQM Excellence Model within German health care organisations and the various implementation approaches recommended by EFQM. Specific details of an approach used by a health care organisation within Germany (providing social medicine, geriatric and elderly services) are described in detail. The benefits achieved from using the Model are a clear picture of where the gaps are in the organisation and a clear vision for concentrating future efforts towards total quality management.
本文简要介绍了影响德国医疗保健的问题。具体而言，成本上升压力导致医疗保健支出增加，而经济衰退以及政治上不愿增税和增加预算支出则带来下行压力。在关键利益相关者观点相互竞争的情况下，质量管理框架被视为解决这些问题的一种潜在方法。该框架即欧洲质量管理基金会（EFQM）卓越模型。本文简要解释了在德国医疗保健组织中使用EFQM卓越模型的试点阶段以及EFQM推荐的各种实施方法。详细描述了德国一家医疗保健组织（提供社会医学、老年病和老年服务）所采用方法的具体细节。使用该模型所取得的益处是清晰了解组织中的差距所在，并为未来集中精力进行全面质量管理提供明确的愿景。
