Trojan A, Nickel S
Universitätsklinikum Eppendorf, Hamburg.
Gesundheitswesen. 2011 Feb;73(2):67-72. doi: 10.1055/s-0030-1270490. Epub 2011 Feb 2.
The concept of a special label for "self-help-friendly" institutions was first developed for hospitals. A demonstration project (funded by the BKK BV, the German Federal Association of Company Health Insurance Funds) was launched in Hamburg. Between 2004 and 2007 quality criteria were developed and put into practice. Shortly thereafter, a group of experienced self-help supporters started to integrate self-help friendliness into quality management systems for ambulatory care. Recently similar developments have been initiated in the Public Health Services. After an introduction on the origins and political context of these new developments we present in this article the efforts and experiences in the 3 mentioned areas of the health-care system. It can be shown that user-based quality standards are becoming more and more common in quality development processes of the health-care services. In the last part we introduce the national "Network Self-Help-Friendliness in the Health Services--Together for Self-Help and Patient Orientation" as the new structure for further implementation, and give hints that the organised self-help is facing completely new challenges.
为医院首创了针对“自助友好型”机构的特殊标签概念。在汉堡启动了一个示范项目（由德国联邦企业健康保险基金协会BKK BV资助）。2004年至2007年期间制定并实施了质量标准。此后不久，一群经验丰富的自助支持者开始将自助友好性纳入门诊医疗质量管理体系。最近，公共卫生服务部门也启动了类似的发展举措。在介绍了这些新发展的起源和政治背景之后，我们在本文中展示了医疗保健系统上述三个领域的努力和经验。可以看出，基于用户的质量标准在医疗保健服务质量发展过程中越来越普遍。在最后一部分，我们介绍了全国性的“医疗服务中的自助友好网络——携手自助与以患者为导向”作为进一步实施的新架构，并提示有组织的自助正面临全新的挑战。
