Magnussen F
Statens senter for barne- og ungdomsspsykiatri, Vinderen, Oslo.
Tidsskr Nor Laegeforen. 1992 Sep 30;112(23):2974-6.
The assessment of quality depends on the eye of the beholder, the patient, the clinician and his colleagues or society/third party payers. There are already several structures that regulate quality: training requirements, judicial control commissions and public health authorities, and in psychiatry also individual supervision and extensive clinical meetings. Most clinical parameters in psychiatry are measurable, but there remains the elusiveness of mental processes, which often defies quantification. Levels of symptoms and functioning, however, can be scored. Computerisation of macro-data often permits useful comparisons, as may consensus conferences and consultations with peers. The essence of quality monitoring is to find indicators that predict results and also reflect the most important situations and problems.
质量评估取决于观察者的眼光，即患者、临床医生及其同事或社会/第三方支付者。目前已经有多种结构来规范质量：培训要求、司法控制委员会和公共卫生当局，在精神病学领域还有个人监督和广泛的临床会议。精神病学中的大多数临床参数都是可测量的，但心理过程仍然难以捉摸，常常无法量化。然而，症状和功能水平可以进行评分。宏观数据的计算机化常常有助于进行有益的比较，共识会议和同行咨询也能起到同样的作用。质量监测的本质是找到能够预测结果并反映最重要情况和问题的指标。
