Albanese Sonia B, Zannini Lucio V, Perri Gianluigi, Crupi Giancarlo, Turinetto Bruno, Pongiglione Giacomo
Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital IRCCS, P.zza S. Onofrio, 4-00165, Rome, Italy,
Pediatr Cardiol. 2014 Oct;35(7):1162-73. doi: 10.1007/s00246-014-0910-x. Epub 2014 Jun 1.
Optimization of the relationship between the supply and the demand for medical services should ideally be taken into consideration for the planning within each national Health System. Although government national health organizations embrace this policy specifically, the contribution of expert committees (under the scientific societies' guarantee in any specific medical field) should be advocated for their capability to collect and analyze the data reported by the various national institutions. In addition, these committees have the competence to analyze the need for the resources necessary to the operation of these centers. The field of pediatric cardiology and cardiac surgery may represent a model of clinical governance of particular interest with regard to programming and to a definition of the quality standards that may be extended to highly specialized institutions and ideally to the entire Health System. The "Baby Heart Project," which represents a model of governance and clinical quality in the field of pediatric cardiology and cardiac surgery, was born from the spontaneous aggregation of a committee of experts, supported by duly appointed Italian Scientific Societies and guided by a national agency for accreditation. The ultimate aim is to standardize both procedures and results for future planning within the national Health System.
在每个国家卫生系统的规划中，理想情况下应考虑优化医疗服务供需关系。尽管政府国家卫生组织特别拥护这一政策，但应倡导专家委员会（在任何特定医学领域的科学协会保障下）发挥作用，因为它们有能力收集和分析各国机构报告的数据。此外，这些委员会有能力分析这些中心运营所需资源的需求情况。小儿心脏病学和心脏外科领域在规划以及定义可扩展至高度专业化机构乃至理想情况下整个卫生系统的质量标准方面，可能代表了一个特别有趣的临床治理模式。“婴儿心脏项目”是小儿心脏病学和心脏外科领域治理和临床质量的一个模式，它源于一个专家委员会的自发聚集，该委员会得到了正式任命的意大利科学协会的支持，并由一个国家认证机构指导。最终目标是为国家卫生系统内的未来规划规范程序和结果。
