von Hodenberg E, Eder S, Grunebaum P, Melichercik J
Klinik für Innere Medizin und Kardiologie, MediClin Herzzentrum Lahr/Baden, Lahr.
Dtsch Med Wochenschr. 2009 Oct;134 Suppl 6:S198-9. doi: 10.1055/s-0029-1241908. Epub 2009 Oct 15.
The German National Institute for Quality in Healthcare has also developed a program of external quality assessment in the field of cardiology. Hospitals are committed to collect certain data of diagnostic coronary angiography, percutaneous coronary interventions and pacemaker implantations. If statistical abnormalities are observed a so called structured dialogue is implemented. The responsible physicians of the hospitals are asked to comment possible quality deficits. Appointed members of quality commissions examine the answers and can invite the responsible physicians for interviews or also visit the hospital. However the validity of the quality data is problematic, because audits or check-ups of quality assessment in place are lacking. Therefore the results should not be misused for a comparison or ranking of hospitals with each other. As long as the validity of the quality assessment has not been improved, the results should also not be accessible for other parties, such as health insurances.
德国国家医疗质量研究所也制定了一项心脏病学领域的外部质量评估计划。医院致力于收集诊断性冠状动脉造影、经皮冠状动脉介入治疗和起搏器植入的某些数据。如果观察到统计异常，则会开展所谓的结构化对话。要求医院的责任医师对可能存在的质量缺陷作出解释。质量委员会的指定成员会审查答案，并可邀请责任医师进行面谈或前往医院考察。然而，质量数据的有效性存在问题，因为缺乏对现有质量评估的审核或检查。因此，不应将结果用于医院之间的比较或排名。只要质量评估的有效性没有提高，其他各方，如健康保险公司，也不应获取这些结果。
