Bourke Michael J
Department of Gastroenterology and Hepatology, Suite 106a 151 Hawkesbury Road, Westmead, NSW 2145, Australia.
J Gastroenterol Hepatol. 2009 Oct;24 Suppl 3:S43-50. doi: 10.1111/j.1440-1746.2009.06070.x.
The last few years have seen a burgeoning interest in the measurement of clinical performance and its impact on quality standards. The advent of the National Bowel Cancer Screening Program has highlighted the many deficiencies that exist in the provision of colonoscopy services in Australia. These include the absence of an agreed tool to measure the quality of colonoscopy on either an individual, departmental or regional basis and the absence of an endoscopic or colonoscopy training curriculum or an agreed standard for colonoscopy trainers. This review will discuss the current status and shortfalls of measuring quality in colonoscopy, highlight some recent initiatives by the Gastroenterological Society of Australia and articulate a direction for the future.
在过去几年中，人们对临床绩效的衡量及其对质量标准的影响兴趣激增。国家肠癌筛查计划的出现凸显了澳大利亚结肠镜检查服务存在的诸多不足。这些不足包括缺乏一个用于在个人、科室或地区层面衡量结肠镜检查质量的公认工具，缺乏内镜或结肠镜检查培训课程，以及缺乏针对结肠镜检查培训人员的公认标准。本综述将讨论结肠镜检查质量衡量的现状和不足，强调澳大利亚胃肠病学会最近的一些举措，并阐明未来的方向。
