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[法定门诊医疗服务的质量:一个采用不同方法的模块化系统]

[Quality in statutory outpatient care: a modular system with varying approaches].

作者信息

Diel Franziska, Rochau Maurice L

机构信息

Dezernat Versorgungsqualität, Kassenärztliche Bundesvereinigung, Herbert-Lewin-Platz 2, 10623, Berlin, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2022 Mar;65(3):302-309. doi: 10.1007/s00103-022-03496-0. Epub 2022 Feb 2.

DOI:10.1007/s00103-022-03496-0
PMID:35107587
Abstract

How is quality supported and what voluntary activities are there in the German statutory healthcare sector? Especially in outpatient healthcare, with a high proportion of chronic diseases treated that can significantly impair one's quality of life, quality of care is of utmost importance. We provide an overview of quality assurance measures that statutorily practicing doctors and psychotherapists (must) oblige to. Voluntary activities from third parties like doctor-specific associations and critical incidence reporting systems (CIRS) are presented alongside tools and services provided by the National and Regional Associations of Statutory Health Insurance Physicians as well as the implications of "Richtlinien" (directives) from the Federal Joint Committee and of "Qualitätssicherungsvereinbarungen" (quality assurance agreements) from the Joint Committee Quality Assurance. In summary, there is a wide spectrum of (in part voluntary) instruments and rules that is the cornerstone for the high quality present in the statutory outpatient healthcare system in Germany.

摘要

德国法定医疗保健部门如何保障质量,有哪些志愿活动?特别是在门诊医疗中,所治疗的慢性病比例很高,这些疾病会严重损害人的生活质量,因此护理质量至关重要。我们概述了法定执业医生和心理治疗师(必须)遵守的质量保证措施。还介绍了来自第三方的志愿活动,如特定医生协会和重大事件报告系统(CIRS),以及法定医疗保险医生国家和地区协会提供的工具和服务,以及联邦联合委员会的“Richtlinien”(指令)和联合委员会质量保证的“Qualitätssicherungsvereinbarungen”(质量保证协议)的影响。总之,有一系列广泛的(部分是自愿的)工具和规则,它们是德国法定门诊医疗系统高质量的基石。

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Quality circles for quality improvement in primary health care: Their origins, spread, effectiveness and lacunae- A scoping review.质量圈在基层医疗质量改进中的应用:起源、传播、效果及缺陷——范围综述。
PLoS One. 2018 Dec 17;13(12):e0202616. doi: 10.1371/journal.pone.0202616. eCollection 2018.
2
The use of quality circles as a support tool in the taking over of practices by young general practitioners.质量圈作为年轻全科医生接管医疗业务的支持工具的应用。
J Family Med Prim Care. 2018 Jan-Feb;7(1):5-10. doi: 10.4103/jfmpc.jfmpc_167_17.