Ostrow P C
Am J Occup Ther. 1983 Jan;37(1):23-6. doi: 10.5014/ajot.37.1.23.
The evolution of quality assurance as an essential component of a scientific, objective approach to health care delivery, and its implications for the profession of occupational therapy are presented. A review is made of the economic, ethical, psychological, and legislative forces that have influenced the development of quality assurance over the past century, a development that has seen times of strong emphasis on quality assurance functions, as well as periods of minimal support and, even, obstacles to any activity. Quality assurance standards established by both The American Occupational Therapy Association and the Joint Commission on Accreditation of Hospitals (JCAH) are discussed. Results of commitment to these standards include improved effectiveness and efficiency of health care, better coverage and reimbursement from third-party payors, and greater professional growth. The need for commitment by occupational therapists to the most effective forms of quality assurance is recommended.
本文介绍了质量保证作为科学、客观的医疗保健服务方法的重要组成部分的演变及其对职业治疗专业的影响。回顾了在过去一个世纪中影响质量保证发展的经济、伦理、心理和立法力量，这一发展过程中既有对质量保证功能的高度重视时期，也有支持极少甚至对任何活动都设置障碍的时期。讨论了美国职业治疗协会和医院评审联合委员会（JCAH）制定的质量保证标准。致力于这些标准的成果包括提高医疗保健的有效性和效率、第三方支付者更好的覆盖范围和报销以及更大的专业发展。建议职业治疗师致力于最有效的质量保证形式。
