Bratlid Dag, Rasmussen Knut
Det medisinske fakultet, Norges teknisk-naturvitenskapelige universitet, 7006 Trondheim.
Tidsskr Nor Laegeforen. 2005 Nov 3;125(21):2976-9.
In order to monitor quality and efficiency in the use of health resources for highly specialised medicine, a National Professional Council has since 1990 advised the Norwegian health authorities on the establishing and localisation of such services.
A comprehensive review of both the quality, economy and the geographical distribution of patients in each specialised service has been carried out.
33 defined national programmes were centralised to one hospital only and distributed among seven university hospitals. Eight multiregional programmes were centralised to two hospitals only and included four university hospitals. In 2001, a total of 2711 new patients were treated in these programmes. The system seems to have secured a sufficient patient flow to each programme so as to maintain quality. However, a geographically skewed distribution of patients was noted, particularly in some of the national programmes.
In a small country like Norway, with 4.5 million inhabitants, a centralised monitoring of highly specialised medicine seems both rational and successful. By the same logic, however, international cooperation should probably be sought for the smallest patient groups.
为监测高度专业化医疗中卫生资源使用的质量和效率，自1990年起，一个国家专业委员会就此类服务的设立和布局向挪威卫生当局提供建议。
对每项专科服务中患者的质量、经济性和地理分布进行了全面审查。
33个明确的国家项目仅集中于一家医院，并分布在七所大学医院。8个多区域项目仅集中于两家医院，其中包括四所大学医院。2001年，这些项目共治疗了2711名新患者。该系统似乎确保了每个项目有足够的患者流量以维持质量。然而，注意到患者在地理上分布不均衡，尤其是在一些国家项目中。
在挪威这样一个拥有450万人口的小国，对高度专业化医疗进行集中监测似乎既合理又成功。然而，基于同样的逻辑，对于最小的患者群体，可能应该寻求国际合作。
