Pare D S, Freed M D
Cardiovascular Program, Children's Hospital, Boston, Massachusetts, USA.
Nurs Clin North Am. 1995 Jun;30(2):183-96.
In response to environmental changes brought about by the debate over health-care reform, hospitals are seeking means to decrease costs while improving quality. By examining the process of health-care delivery, problems in the system can be highlighted for further investigation. Development of clinical practice guidelines by an interdisciplinary team can be an effective approach to decrease undesirable practice variation, standardize appropriate resource use, and measure the effectiveness of care through defined expected-patient outcomes. By ensuring the appropriate, efficient, and effective delivery of health care, savings in cost can be realized by the elimination of duplication, rework, and waste.
为应对医疗改革辩论带来的环境变化，医院正在寻求降低成本同时提高质量的方法。通过审视医疗服务提供过程，可以突出系统中的问题以便进一步调查。由跨学科团队制定临床实践指南可能是一种有效的方法，可减少不良的实践差异、规范适当的资源使用，并通过明确的预期患者结果来衡量护理效果。通过确保适当、高效和有效地提供医疗服务，消除重复、返工和浪费可以实现成本节约。
