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[质量的成本效益方面:投资有回报吗?]

[Cost benefit aspects of quality: is there a return on the investment?].

作者信息

Wasserfallen J B

机构信息

CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse Romande. 2001 Nov;121(11):827-30.

Abstract

Quality health care has a cost with three components: the cost of the diagnostic or therapeutic procedure itself, the cost of error or side effects prevention, and the cost of error or side effects treatment. Hence an optimal position must be found. The literature shows that quality projects aiming at decreasing the cost of side effects treatment usually lead to savings. On the other hand, legal or contract requirements aiming at preventing side effects from happening usually lead to additional costs. Therefore, specific assessment methods to compute the costs and benefits of quality programs must be developed. It would be paradoxical to waste resources in setting up and running a quality assurance program.

摘要

优质医疗保健存在成本,其由三个部分组成:诊断或治疗程序本身的成本、预防差错或副作用的成本以及治疗差错或副作用的成本。因此,必须找到一个最佳平衡点。文献表明,旨在降低副作用治疗成本的质量改进项目通常会带来节约。另一方面,旨在防止副作用发生的法律或合同要求通常会导致额外成本。因此,必须开发特定的评估方法来计算质量改进项目的成本和收益。在设立和运行质量保证项目时浪费资源将是自相矛盾的。

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