Durand-Zaleski I, Audet A M, Greenfield S, Jolly D
Direction de la Stratégie, Assistance Publique, Paris, France.
Rev Epidemiol Sante Publique. 1991;39(5):467-76.
Quality assessment in the USA has been undertaken during the past twenty years by different institutions sponsored by the Congress, the government and professional associations. The evaluation tools which were developed reflect both the diversity of the American medical scene fashions in health care management. They evolved from norms to incentives, but each step in this evolution left its marks in the form of regulations, financial incentives and traditions.
在过去二十年里，美国的质量评估工作由国会、政府及专业协会赞助的不同机构开展。所开发的评估工具既反映了美国医疗领域的多样性，也反映了医疗保健管理方面的潮流。它们从规范发展到激励措施，而这一演变过程中的每一步都以法规、经济激励和传统的形式留下了印记。
