Balakrishnan Maya, Raghavan Aarti, Suresh Gautham K
Division of Neonatology, Department of Pediatrics, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, Tampa, FL 33606, USA.
Division of Neonatology, Department of Pediatrics, UIC Hospital, University of Illinois College of Medicine at Chicago, 1740 West Taylor Street, Chicago, IL 60612, USA.
Clin Perinatol. 2017 Sep;44(3):529-540. doi: 10.1016/j.clp.2017.04.002. Epub 2017 Jul 5.
Consistency of care and elimination of unnecessary and harmful variation are underemphasized aspects of health care quality. This article describes the prevalence and patterns of practice variation in health care and neonatology; discusses the potential role of standardization as a solution to eliminating wasteful and harmful practice variation, particularly when it is founded on principles of evidence-based medicine; and proposes ways to balance standardization and customization of practice to ultimately improve the quality of neonatal care.
医疗服务的连贯性以及消除不必要和有害的差异，是医疗服务质量中未得到充分重视的方面。本文描述了医疗服务及新生儿科中实践差异的普遍程度和模式；讨论了标准化作为消除浪费和有害实践差异的一种解决方案的潜在作用，尤其是当它基于循证医学原则时；并提出了平衡实践标准化和定制化的方法，以最终提高新生儿护理质量。
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