Margo Curtis E
Department of Ophthalmology, Watson Clinic, LLP, Lakeland, Florida 33805, USA.
Surv Ophthalmol. 2004 May-Jun;49(3):359-71. doi: 10.1016/j.survophthal.2004.02.010.
Goals of the quality-of-care initiative are to improve the structure, process, and outcome of health care. The effectiveness of methods to improve quality have been largely unverified. Most methods are costly to implement and time-consuming to perform; some threaten professional autonomy. The characteristic feature of modern medicine that fuels the debate over quality is the variation in the delivery of health care. This review examines the "variation phenomenon" in medicine and the roles that practice guidelines and physician profiling have in improving health care, in general, and for adult cataract, in particular.
医疗质量改进计划的目标是改善医疗保健的结构、过程和结果。提高质量的方法的有效性在很大程度上尚未得到验证。大多数方法实施成本高昂且耗时；有些还威胁到专业自主权。引发关于质量辩论的现代医学的特征是医疗保健提供方面的差异。本综述探讨了医学中的“差异现象”，以及实践指南和医生绩效评估在总体上改善医疗保健，特别是在成人白内障方面所起的作用。
