Lakomek H J, Neeck G, Lang B, Jung J
Klinik für Rheumatologie und Physikalische Medizin Klinikum Minden Friedrichstr. 17 32427 Minden, Germany.
Z Rheumatol. 2002 Aug;61(4):405-14. doi: 10.1007/s00393-002-0429-z.
A study group representing the VRA (Association of Rheumatology Clinics in Germany) has worked out the structural quality paper presented here. Five guidelines for structural quality have been established by the VRA and are laid out in this paper. Required space and personnel for implementing these guidelines are considered. A highly competent, multi-disciplinary team must be available to ensure the long-term quality of in-patient treatment of rheumatic patients, the majority of whom are chronically ill and are suffering from chronic pain of varying intensity which restricts their daily activities. The necessity for such in-patient treatment is reflected in a 6-point-questionnaire (draft) adapted to the Appropriateness Evaluation Protocol. Considering the introduction of a flat-rate fee system (DRG-system) the structural quality paper describes the implementation of a specified electronic data processing documentation which is linked to a central hospital information system. According to the concept of benchmarking, the paper takes into account future developments of the German health system. It will be adjusted continuously to changing political guidelines for health services.
一个代表德国风湿病诊所协会（VRA）的研究小组制定了本文所呈现的结构质量文件。VRA制定了五项结构质量指南，并在本文中进行了阐述。文中还考虑了实施这些指南所需的空间和人员。必须配备一支高素质的多学科团队，以确保风湿性疾病患者住院治疗的长期质量，这些患者大多数患有慢性病，遭受着不同程度的慢性疼痛，这限制了他们的日常活动。这种住院治疗的必要性体现在一份根据适宜性评估方案改编的六点调查问卷（草案）中。考虑到引入统一费率收费系统（疾病诊断相关分组系统），该结构质量文件描述了与中央医院信息系统相连的特定电子数据处理文档的实施情况。根据标杆管理的概念，本文考虑了德国医疗系统的未来发展。它将根据不断变化的卫生服务政策指导方针持续进行调整。
