Nickelsen Thomas N, Christensen Majbritt
DSI Institut for Sundhedsvaesen, Dampfaergevej 22, DK-2100 København Ø.
Ugeskr Laeger. 2002 Oct 14;164(42):4913-7.
In relation to the development of quality standards for the national quality development study, DGMA, a search was made through the literature on outpatient care. The literature was scanty, but some evidence was found on the following: Continuity of care is a patient demand, and several studies show more effective and less expensive treatment when this is ensured. Two studies show impaired quality of treatment, but quality is not defined either precisely or uniformly. Waiting times dissatisfy patients and perhaps diminish the result of treatment and information. Failure to turn up for appointments affects up to 29 per cent of consultations. Non-attendances could be cut down if patient factors and continuity of care are taken into account. Some outpatient consultations could take place in the general practitioner's surgery, if hospital doctors knew more about their capabilities.
关于国家质量发展研究质量标准的制定，药品和医疗器械管理局（DGMA）对门诊护理方面的文献进行了检索。相关文献较少，但发现了以下一些证据：连续性护理是患者的需求，多项研究表明，确保连续性护理时治疗效果更佳且成本更低。两项研究表明治疗质量受损，但质量的定义既不精确也不统一。候诊时间让患者不满，可能会降低治疗效果和信息质量。爽约现象影响高达29%的会诊。如果考虑患者因素和连续性护理，可减少无故缺席情况。如果医院医生更了解全科医生诊所的能力，一些门诊会诊可以在那里进行。
