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[全科医疗中的医疗复杂性——确立充分医疗结果的问题]

[Complexity of care in general practice--problems in establishing adequate outcomes of care].

作者信息

Abholz Heinz-Harald

机构信息

Abteilung für Allgemeinmedizin, Universitätsklinikum Düsseldorf.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2008;102(6):351-6. doi: 10.1016/j.zefq.2008.07.021.

Abstract

Using four main characteristics of general practice it will be shown that the one-dimensional outcome parameters that are used in health care, and increasingly so, are inappropriate for assessing the quality of care. On the contrary, such an oversimplification might be expected to be detrimental to the quality of health care. This should be kept in mind when planning studies on the quality of care in general practice. In this text general(ist) practice will be taken as a textbook example of medical, i.e., professional practice.

摘要

利用全科医疗的四个主要特征可以表明,目前在医疗保健中越来越多地使用的一维结果参数并不适合用于评估医疗质量。相反,这种过度简化可能会对医疗质量产生不利影响。在规划全科医疗质量研究时应牢记这一点。在本文中,全科(通科)医疗将被视为医学专业实践的一个典型例子。

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