Kordy H
Forschungsstelle für Psychotherapie, Stuttgart.
Z Psychosom Med Psychoanal. 1992;38(4):310-24.
The GRG from 1988 commits all suppliers of medical or therapeutic services in Germany to take steps to assure quality. The legislator left it in the care of the involved parties to find an agreement how to do it. This vagueness together with the emphasis put simultaneously on quality and economy turned this issue into a threat for many therapists. This tendency is supported in addition by the intensified competition between the therapeutic schools. The major goal of this review is to give some information that provide a functional discussion and hinder a misuse. The article informs about the issue of quality assurance, which is not as new as some people may consider it; the political context is pointed out, the main concepts are introduced, approaches and experiences from other countries or other fields of medicine are reported, and the conflicts between the interest groups are sketched out. Finally, some comments on central aspects are given which eventually make easier a transference into the field of psychotherapy and hopefully encourage specific approaches of quality assurance in this field.
1988年的《德国医疗服务质量法》要求德国所有医疗或治疗服务供应商采取措施确保质量。立法者让相关各方自行达成如何实现这一目标的协议。这种模糊性，再加上同时对质量和经济性的强调，使这个问题对许多治疗师构成了威胁。此外，治疗学派之间日益激烈的竞争也助长了这种趋势。本综述的主要目的是提供一些信息，以促进有实际意义的讨论并防止滥用。本文介绍了质量保证问题，它并不像一些人认为的那样新颖；指出了政治背景，介绍了主要概念，报告了其他国家或医学其他领域的方法和经验，并勾勒了利益集团之间的冲突。最后，对核心方面给出了一些评论，最终有助于将其应用到心理治疗领域，并有望鼓励该领域采取具体的质量保证方法。
