Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA.
Surg Clin North Am. 2009 Dec;89(6):1373-81, x. doi: 10.1016/j.suc.2009.09.013.
The quality of surgical care in rural hospitals is important, as surgery remains a critical component of rural health care systems. Current models for surgical quality assessment and improvement largely reflect the characteristics of larger urban hospital settings, which include proximity to other providers for peer review, higher procedure volumes to accurately assess outcomes, and greater financial resources to acquire data collection systems and finance participation in regional or national quality improvement programs, such as the American College of Surgeons National Surgical Quality Improvement Program. Although rural surgeons and hospitals face numerous challenges in their efforts to demonstrate or improve the quality of their surgical practices, developments in surgical quality favor their increased participation in quality improvement initiatives.
农村医院的外科护理质量很重要，因为外科仍然是农村医疗保健系统的重要组成部分。目前的外科质量评估和改进模式在很大程度上反映了较大城市医院环境的特点，包括接近其他同行进行同行评审、更高的手术量以准确评估结果，以及更多的财政资源来获取数据收集系统和为参与区域或国家质量改进计划提供资金，如美国外科医师学院国家外科质量改进计划。尽管农村外科医生和医院在努力证明或提高其外科手术质量方面面临着许多挑战，但外科质量的发展有利于他们更多地参与质量改进计划。
