Schäfer Robert D
Arztekammer Nordrhein, Düsseldorf.
Z Evid Fortbild Qual Gesundhwes. 2008;102(9):594-7; discussion 605-8. doi: 10.1016/j.zefq.2008.09.024.
Both the quality and performance of health systems are strongly influenced by the number and the qualification of the professional staff. Quality assurance programs help to analyse causalities which are responsible for medical malpractice. On the basis of the experiences gained by the performance of established Quality Assurance Programs (QAP) in the North Rhine area since 1982 various aspects of the efficiency of these programs will be discussed. The implementation of legal regulations making these programs mandatory is criticised not only for its bureaucratic effect but also for the attempt to exclude professional experts from the interpretation of results. It is recommended to liberalize these regulations in order to facilitate improvement of methods and participation of the medical profession.
卫生系统的质量和绩效都受到专业人员数量和资质的强烈影响。质量保证计划有助于分析导致医疗事故的因果关系。基于1982年以来在北莱茵地区实施既定质量保证计划（QAP）所获得的经验，将讨论这些计划效率的各个方面。强制实施这些计划的法律法规不仅因其官僚作风而受到批评，还因其试图将专业专家排除在结果解读之外而受到批评。建议放宽这些规定，以促进方法的改进和医疗行业的参与。
