Marracino C J
Calidad de la Atención Médica, Buenos Aires, Argentina.
Salud Publica Mex. 1993 May-Jun;35(3):259-67.
This document explains and evaluates the strategy adopted and the experience gathered by the Joint Commission for the Development of Quality Assurance for Medical Care, for accreditation and categorization of health care establishments. This Commission is a non governmental and non profit making institution formed by representatives of 12 Scientific Entities, Social Welfare (Social Security) and Union of Private Health Care Establishments, which is giving strength to a volunteer Accreditation Programme in establishments. The promotion of the programme has allowed to evaluate different aspects of the mentioned problematic. Among them: a) Primary Evaluation of Establishments, observing a high influence of small establishments that do not fulfill the basic requirements, b) the need to differentiate between establishments concerning their risks and complexity and c) development of the accreditation manual which has the application methodology and the standards agreed.
本文件解释并评估了医疗保健质量保证发展联合委员会在医疗保健机构认证和分类方面所采用的策略及积累的经验。该委员会是一个非政府、非营利性机构，由12个科学实体、社会福利（社会保障）及私立医疗保健机构联盟的代表组成，它正在加强对机构的自愿认证计划。该计划的推广使得能够对上述问题的不同方面进行评估。其中包括：a）机构的初步评估，发现不符合基本要求的小机构影响很大；b）需要根据机构的风险和复杂性进行区分；c）制定认证手册，其中包含应用方法和商定的标准。
