Jährig K, Jährig D, Heinrich J
Klinik für Kindermedizin der Ernst-Moritz-Arndt-Universität, Greifswald.
Zentralbl Gynakol. 1988;110(23):1473-84.
After discussing some general factors influencing the result of medical care at all (socio-economic conditions, biological factors), the difficulties of neonatal quality control compared with the assessment of quality in obstetric care are pointed out (greater variability of the data, evaluation of long-term effects). In addition to the obstetric system of data collection a similar evaluation of neonatal data is recommended to be introduced and definitions for general use are given. The recommendations are based on own investigations of the predictive value of some data gained within the perinatal period (history, physical examination, laboratory tests etc.). The high expenditures of personnel and equipment, at present, don't allow a nationwide introduction of such records. But in future perinatal centers should collect their data in an unique way according to this recommendations for comparing the efficiency of perinatal care in voluntary programs of quality control. The experiences collected by those analyses will be of great value concerning planning the design of a nationwide data recording system in perinatal medicine.
在讨论了一些总体上影响医疗结果的因素（社会经济状况、生物学因素）之后，指出了与产科护理质量评估相比，新生儿质量控制存在的困难（数据变异性更大、长期效果评估）。除了产科数据收集系统外，建议引入类似的新生儿数据评估，并给出通用定义。这些建议基于对围产期获取的一些数据（病史、体格检查、实验室检查等）预测价值的自身研究。目前，人员和设备的高额支出不允许在全国范围内引入此类记录。但未来围产期中心应按照这些建议以统一方式收集数据，以便在自愿质量控制项目中比较围产期护理的效率。通过这些分析收集到的经验对于规划围产医学全国数据记录系统的设计将具有重要价值。
