Wilson J Frank, Owen Jean
Medical College of Wisconsin, Milwaukee, WI 53226, USA.
J Am Coll Radiol. 2005 Dec;2(12):1001-7. doi: 10.1016/j.jacr.2005.06.009.
The quality of cancer care in the United States should be better than it is. Society has demanded improvement, but much work remains to be done to define and measure both the current quality of care and the steps needed to optimize such care. Various public and private organizations are directing early efforts toward attempts to determine the quality of selected oncology services as a first step in a broad-based quality improvement process. In contrast, the ACR Patterns of Care Study (PCS) for over 30 years has relied on exemplary voluntary engagement by American radiation oncologists in critical self-assessment and self-improvement as a highly effective pathway to improved practice quality. This article provides an overview of the documented historical and recent impact of PCS research findings on practice and describes the deliberate adaptation of the PCS identity and methodology to the quality-sensitive national environment with the new project name Quality Research in Radiation Oncology. The article concludes with a discussion of the rationale for continuing this unique quality improvement initiative and some of the challenges to this imperative that are being faced.
美国癌症护理的质量应该比目前更好。社会要求有所改善，但要界定和衡量当前的护理质量以及优化此类护理所需采取的措施，仍有许多工作要做。各类公共和私人组织正率先努力，试图确定选定肿瘤服务的质量，作为广泛质量改进进程的第一步。相比之下，30多年来，美国放射肿瘤学会的护理模式研究（PCS）一直依赖美国放射肿瘤学家在关键的自我评估和自我改进方面的模范自愿参与，将其作为提高执业质量的高效途径。本文概述了PCS研究结果在实践方面已记录的历史和近期影响，并描述了如何将PCS的特性和方法刻意调整，以适应对质量敏感的国家环境，新项目名称为放射肿瘤学质量研究。文章最后讨论了继续开展这一独特质量改进举措的理由以及目前面临的一些挑战。
