Sundelin F, Folkedal D, Grimstad S A, Kristiansen O K, Rønsen S
Avdeling for Samfunnsmedisin, Statens Institutt for Folkehelse, Oslo.
Tidsskr Nor Laegeforen. 1992 Nov 30;112(29):3672-6.
The article describes what can be done to improve quality in the Norwegian primary health services, seen from the point of view of the municipal health officer. Quality assurance is particularly important in the primary health services for the following reasons: They, i.e. the primary health services constitute a major part of the total health services, and they are unique by being a basic front-line service consisting of many small units. Compared with the rest of the health services, many of the personnel employed at these units are not fully qualified. As a consequence, we argue that setting quality standards and ensuring and improving quality in patient care must be an integrated part of the work of all primary health care personnel. Ensuring quality has been a major issue for the national health authorities in recent years, but has not yet been incorporated as a routine in the services. We give six examples where quality assurance is relevant, with references from research.
本文从市政卫生官员的角度描述了为提高挪威初级卫生服务质量可采取的措施。质量保证在初级卫生服务中尤为重要，原因如下：初级卫生服务构成了整个卫生服务的主要部分，并且其独特之处在于它是由许多小单位组成的基层一线服务。与其他卫生服务相比，这些单位雇用的许多人员并不完全具备资质。因此，我们认为制定质量标准以及确保和提高患者护理质量必须成为所有初级卫生保健人员工作的一个组成部分。近年来，确保质量一直是国家卫生当局的一个主要问题，但尚未纳入服务的常规工作中。我们给出了六个质量保证相关的例子，并附有研究参考文献。
