Mattejat F, Remschmidt H
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philipps-Universität Marburg.
Z Kinder Jugendpsychiatr. 1995 Jun;23(2):71-83.
The goals of quality assurance in child and adolescent psychiatry and psychotherapy and related problems are reviewed. Three dimensions of quality assurance are differentiated: the substantive aspect (quality of the treatment process and results, quality of structural aspects of treatment facility) the area (diagnosis, therapy, staff training) and the tasks to be accomplished in the process of quality assurance (development of standards, assessment of the current situation, comparison of current situation with standards, planning and implementation of changes). Several important problems related to quality assurance are outlined and the most urgent tasks discussed in detail (development of quality standards and assessment of the current situation). It is proposed that quality assurance documentation is divided into four parts: documentation of structural characteristics of facility, basic documentation about patient, documentation of diagnostic and treatment services provided, and documentation of evaluation of services provided. An example of a therapy evaluation method (Questionnaire for Therapy Evaluation, QTE) is described.
回顾了儿童和青少年精神病学与心理治疗中的质量保证目标及相关问题。区分了质量保证的三个维度：实质方面（治疗过程和结果的质量、治疗机构结构方面的质量）、领域（诊断、治疗、人员培训）以及质量保证过程中要完成的任务（制定标准、评估现状、将现状与标准进行比较、规划和实施变革）。概述了与质量保证相关的几个重要问题，并详细讨论了最紧迫的任务（制定质量标准和评估现状）。建议将质量保证文件分为四个部分：机构结构特征文件、患者基本文件、所提供诊断和治疗服务文件以及所提供服务评估文件。描述了一种治疗评估方法的示例（治疗评估问卷，QTE）。
