Athanasoulis C A, Thrall J H
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston 02114.
Radiology. 1989 Dec;173(3):613-4. doi: 10.1148/radiology.173.3.2813761.
Assessment and accountability will be issues shaping the health care system in the United States during the next decade. Qualitative and, more important, quantitative information will be essential elements in the process. This information will need to be viewed in the light of the expectations of radiologists. These expectations may be referred to as guidelines, standards, or practice parameters. If radiologists wish to be active participants in the process rather than passive observers, they need to develop their own standards of practice. For the development of standards, the authors propose a unifying approach based on the concept of components of radiology service and the service as a whole. The concept provides a flexible framework for building a list of standards. This list may be shortened or expanded in response to available resources and changing practice patterns.
评估与问责将成为未来十年塑造美国医疗保健系统的问题。定性信息，更重要的是定量信息，将是这一过程中的关键要素。这些信息需要根据放射科医生的期望来审视。这些期望可被称为指南、标准或实践参数。如果放射科医生希望成为这一过程的积极参与者而非被动观察者，他们就需要制定自己的实践标准。为了制定标准，作者们提出了一种基于放射学服务组成部分以及整体服务概念的统一方法。这一概念为构建标准列表提供了一个灵活的框架。该列表可根据可用资源和不断变化的实践模式进行缩短或扩充。
