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从认证到质量改进——丹麦国家质量计划。

From accreditation to quality improvement-The Danish National Quality Programme.

机构信息

Psychiatric Management, Psychiatry in Region North Denmark, Mølleparkvej 10, Aalborg, North Denmark region 9000, Denmark.

Danish Center for Clinical Health Services Research (DACS), Department of Clinical Medicine, Aalborg University Hospital, Frederik Bajers Vej 5, Aalborg, North Denmark region Ø 9220, Denmark.

出版信息

Int J Qual Health Care. 2021 Apr 28;33(2). doi: 10.1093/intqhc/mzab071.

DOI:10.1093/intqhc/mzab071
PMID:33861335
Abstract

The Danish government launched a new National Quality Programme (NQP) in healthcare in 2015. It has changed the focus from old public management in terms of accreditation, regulation, rules and standards to new public governance focusing on delivering high quality healthcare and outcomes of value for the patients, health professionals and the Danish healthcare system. The NQP aims to strengthen the focus on continuous quality improvement and the launch of the programme was accompanied by a decision to phase out accreditation of public hospitals. The NQP includes 1) eight specific national quality goals, 2) a national educational programme for quality management, and 3) establishment of quality improvement collaboratives. Since the establishment of the NQP the indicator results have improved in several important clinical areas. However, causal conclusions related to the effect of the NQP cannot yet be made. This perspective on quality paper aims to give a short introduction to the NQP and documented outcomes.

摘要

丹麦政府于 2015 年推出了一项新的国家医疗质量计划(NQP)。该计划将重点从旧的公共管理模式(包括认证、监管、规则和标准)转变为新的公共治理模式,以提供高质量的医疗服务和为患者、医疗专业人员以及丹麦医疗体系创造价值为重点。NQP 旨在加强对持续质量改进的关注,该计划的推出伴随着取消公立医院认证的决定。NQP 包括 1)八项具体的国家质量目标,2)国家质量管理教育计划,以及 3)建立质量改进合作组织。自 NQP 成立以来,几个重要临床领域的指标结果已经有所改善。然而,目前还不能得出与 NQP 效果相关的因果结论。本文旨在对 NQP 及其成果进行简要介绍。

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From accreditation to quality improvement-The Danish National Quality Programme.从认证到质量改进——丹麦国家质量计划。
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The Evolution of External Healthcare Regulation in England; From Performance Oversight to Supporting Improvement Comment on "The Special Measures for Quality and Challenged Provider Regimes in the English NHS: A Rapid Evaluation of a National Improvement Initiative for Failing Healthcare Organisations".英国外部医疗保健监管的演变:从绩效监督到支持改进 述评:“英国国民保健制度中质量和有问题提供者特殊措施:为失败的医疗保健组织设立的国家改进计划快速评估”。
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