Aranaz J M, Mira J J, Beltrán J
Servicio de Medicina Preventiva, Hospital Universitario Sant Joan d'Alacant, Departamento de Salud Pública, Universidad Miguel Hernándéz, Campus de San Juan, Ctra. Alicante-Valencia, km 87, 03550 San Juan de Alicante.
Neurologia. 2003 Dec;18 Suppl 4:48-56.
Processes management has a positive effect in both reducing the variability of clinical practice, and increasing therapeutic effectiveness and patients' satisfaction. In this article the different types of processes and the methods used to identify and define processes and subprocesses are described. The management by processes requires to combine information of patients' needs and expectations, and the recent evidence, describing the activities' sequence that the professionals would realize in order to obtain a positive outcome. Defining quality criteria of clinical practice and monitoring if standards are achieved are critical to obtain other of its characteristic: continuous improvement (PDCA cycle). The introduction of total quality ideas in the healthcare organizations in recent years has yielded the dissemination of the advantages of management processes in health care sector.
流程管理在降低临床实践的变异性、提高治疗效果和患者满意度方面都具有积极作用。本文描述了不同类型的流程以及用于识别和定义流程及子流程的方法。流程管理需要结合患者需求和期望的信息以及最新证据，描述专业人员为取得积极结果而实施的活动顺序。定义临床实践的质量标准并监测是否达到标准对于实现其另一个特征——持续改进（PDCA循环）至关重要。近年来，全面质量理念在医疗保健机构中的引入使得管理流程在医疗保健领域的优势得到了传播。
