Bebensee H, Vitt K D
Abt. Grundfragen/Krankenhaus--Medizinischer Dienst der Krankenversicherung Schleswig-Holstein, Lübeck.
Gesundheitswesen. 1993 Jun;55(6):326-8.
Formal, structurally determined quality requirements (for medical and non-medical staff, space and equipment, respectively) are supplemented by guidelines that are able to inform about the actual course of rehabilitation. Not only externally controlled medical reports on the treatment are suited for this, but also inquiries of patients comparisons between sickness insurances (for example on duration of inability to work, need for hospital measures of rehabilitation) and the comparison with patients who did not take part in ambulant rehabilitation. A report system has to be built up that pictures the clientele of the "reha"-institution, measures changes and documents results a long-term basis. The proposed periodical tests and final test serve not only for the control of patient progress in each single case with information for the practitioner, but also give financial committees hints on the efficiency of the work of the institutions for rehabilitation. Continuous attendance is proposed with a report system and scientific evaluation, whose results are sent concisely but anonymous by to the contract partners on a quarterly basis. A committee for quality assurance discusses new developments and improves ambulant rehabilitation.
正式的、结构确定的质量要求(分别针对医护人员、空间和设备)由能够告知康复实际进程的指南加以补充。不仅外部控制的治疗医学报告适用于此,患者的询问、医疗保险之间的比较(例如关于无法工作的时长、康复所需的医院措施)以及与未参加门诊康复的患者的比较也适用。必须建立一个报告系统,该系统要描绘出“康复”机构的客户群体,衡量变化并长期记录结果。提议的定期测试和最终测试不仅用于控制每个病例中患者的进展情况并为从业者提供信息,还能为财务委员会提供有关康复机构工作效率的提示。建议持续参与报告系统和科学评估,其结果每季度以简洁但匿名的方式发送给合同伙伴。一个质量保证委员会讨论新进展并改进门诊康复。