Kane R A, Kane R L
Inquiry. 1988 Spring;25(1):132-46.
Quality assurance in long-term care (LTC) diverges from approaches in acute care because of inherent features of LTC: the slower pace, the reliance on "low technology" services, the goals of LTC, and the multiple transitions across care sites typical of LTC users. LTC quality assurance activities should focus on outcomes, using process measures only when they are related to desirable outcomes or are intrinsic to respectful treatment of patients. Outcome measures should compare what is achieved with what can be reasonably expected. Because LTC services can be given interchangeably at various LTC sites (e.g., home care, day care, nursing homes), a data base must be developed that permits monitoring and comparing outcomes across diverse LTC programs.
长期护理（LTC）中的质量保证与急性护理中的方法不同，这是由于长期护理的固有特征所致：节奏较慢、依赖“低技术”服务、长期护理的目标，以及长期护理使用者在不同护理场所之间的多次转换。长期护理质量保证活动应注重结果，仅在过程指标与理想结果相关或对尊重患者至关重要时才使用。结果指标应将实际取得的成果与合理预期的成果进行比较。由于长期护理服务可以在不同的长期护理场所（如家庭护理、日托、养老院）交替提供，因此必须建立一个数据库，以便对不同长期护理项目的结果进行监测和比较。
