Grol R
Centre Quality Assurance Research Family Practice University Nijmegen, The Netherlands.
Qual Assur Health Care. 1990;2(2):119-26. doi: 10.1093/intqhc/2.2.119.
In a district of the town of Nijmegen in the Netherlands, 322 family physicians were approached to take part in an intensive peer review programme: 73% agreed to take part. The problems doctors experienced at the start of the programme were: a dislike of being criticized and doubts about such an investment of time. As the programme got going most of the problems shrank in size whilst the problem of changing their practice routines to meet certain guidelines for quality of care imposed by the programme grew. Nevertheless, for the large majority participation was a very valuable experience. By means of a gradual and personal approach towards doctors, systematic procedures for assessment and feedback, variation in topics and methods, and good organization and guidance it is possible to make quality assurance by means of peer review into a valuable aspect of the daily work of many care providers.
在荷兰奈梅亨镇的一个区，研究人员邀请了322名家庭医生参与一项强化同行评审项目：73%的医生同意参与。项目开始时医生们遇到的问题有：不喜欢被批评以及对投入如此多时间存在疑虑。随着项目的推进，大多数问题的影响程度减小了，而按照项目规定的医疗质量准则改变他们的执业常规这一问题却增多了。尽管如此，对于绝大多数医生而言，参与是一次非常宝贵的经历。通过对医生采取循序渐进且个性化的方式、系统的评估和反馈程序、主题和方法的多样性以及良好的组织与指导，借助同行评审进行质量保证能够成为许多医疗服务提供者日常工作中有价值的一部分。
