Gumpert J R
Royal Sussex County Hospital, Brighton.
Ann R Coll Surg Engl. 1988 Mar;70(2):85-92.
The article discusses the ways in which surgeons should respond to the growing external and internal pressures for ensuring the quality and appropriateness of surgical treatment. Quality Assurance is defined. Its development in the USA is described and it is debated whether or not a similar system should be introduced into the United Kingdom. The reasons for initiating a system of quality assurance into one health district and the experience so far gained is reported. The problems of quality assurance and some of the solutions are discussed.
本文讨论了外科医生应如何应对日益增长的内外部压力，以确保手术治疗的质量和适宜性。文中对质量保证进行了定义，描述了其在美国的发展情况，并就是否应在英国引入类似系统展开了讨论。报告了在一个健康区启动质量保证体系的原因及迄今所取得的经验。讨论了质量保证的问题及一些解决办法。
