Hartmann P, Grüsser M, Jörgens V
Zentralinstitut für die kassenärztliche Versorgung, Bundesrepublik Deutschland, Köln.
Z Arztl Fortbild (Jena). 1995 Aug;89(4):415-8.
The efficacy of quality circles has not yet been evaluated in controlled studies in Germany. The Central Research Institute for Ambulatory Health Care in Germany conducted a prospective controlled trial in order to evaluate the effects of structured quality circles on the process of quality ambulatory care for diabetic patients. Following a training for moderators (two for each quality circle) two quality circles undertook five sessions. In a representative random sample (25 diabetic patients per practice), the quality of diabetes care was evaluated before and after participation in the quality circles and was compared to the results of a control group without peer review. The participation in a quality circle resulted in a significant and relevant improvement of the quality concerning the detection of diabetes related complications.
在德国，尚未有对照研究对质量改进小组的效果进行评估。德国中央门诊医疗研究所开展了一项前瞻性对照试验，以评估结构化质量改进小组对糖尿病患者门诊护理质量过程的影响。在对主持人进行培训后（每个质量改进小组两名），两个质量改进小组开展了五次会议。在一个具有代表性的随机样本中（每个诊所25名糖尿病患者），在参与质量改进小组之前和之后对糖尿病护理质量进行了评估，并与未进行同行评审的对照组结果进行了比较。参与质量改进小组使糖尿病相关并发症检测方面的质量得到了显著且相关的改善。
