de Moraes Novaes H
Organización Panamericana de la Salud, Washington, D.C. 20037-2895.
Salud Publica Mex. 1993 May-Jun;35(3):248-58.
The majority of the approximately 14,000 hospitals in Latin America and the Caribbean face enormous challenges to live up to the basic prepositions of quality assurance in health care. If methods of quality control in medical education and hospitals are not implemented soon in Latin America, we will face, in the very near future, the same situation that has marred the quality of medical care in the U.S. This could turn our health care environment in Latin America into a controversial reality, just as vulnerable to malpractice lawsuits. This situation should be avoided at all costs, before the current absence of quality control favors financial external forces over the implementation of self-assessment methods or external control by accreditation commissions. The following conditions are needed for the effective development of quality assurance programs; a) professional technical skills; b) efficient use of resources; c) reduction to a minimum of lesions derived from services; d) patient satisfaction in his requirements, expectations and accessibility to health services, and e) local health systems, where comprehensive outpatient and inpatient services are provided.
拉丁美洲和加勒比地区约14000家医院中的大多数，在履行医疗保健质量保证的基本前提方面面临巨大挑战。如果拉丁美洲不尽快实施医学教育和医院中的质量控制方法，在不久的将来，我们将面临与美国医疗质量受损情况相同的局面。这可能会使拉丁美洲的医疗保健环境变成一个有争议的现实，同样容易引发医疗事故诉讼。在当前缺乏质量控制导致金融外部力量优先于自我评估方法的实施或认证委员会的外部控制之前，应不惜一切代价避免这种情况。有效开展质量保证项目需要以下条件：a）专业技术技能；b）资源的有效利用；c）将服务造成的损害降至最低；d）患者对其需求、期望以及获得医疗服务的满意度；e）提供全面门诊和住院服务的地方卫生系统。
