Lim M K
Department of Community, Occupational and Family Medicine, Faculty of Medicine National University of Singapore, Singapore, Singapore.
Qual Saf Health Care. 2004 Feb;13(1):71-5. doi: 10.1136/qshc.2002.004994.
Quality of care in Singapore has seen a paradigm shift from a traditional focus on structural approaches to a broader multidimensional concept which includes the monitoring of clinical indicators and medical errors. Strong political commitment and institutional capacities have been important factors for making the transition. What is still lacking, however, is a culture of rigorous programme evaluation, public involvement, and patient empowerment. Despite these imperfections, Singapore has made considerable strides and its experience may hold lessons for other small developing countries in the common quest for quality care and patient safety.
新加坡的医疗质量已发生了范式转变，从传统上对结构性方法的关注转向了一个更广泛的多维概念，其中包括对临床指标和医疗差错的监测。强有力的政治承诺和机构能力是实现这一转变的重要因素。然而，目前仍然缺乏的是一种严谨的项目评估文化、公众参与和患者赋权。尽管存在这些不足，新加坡已取得了长足进步，其经验可能会为其他寻求优质医疗和患者安全的发展中小国提供借鉴。
