Hammershøy E M, Mainz J
Dansk Sygehus Institut, København.
Ugeskr Laeger. 1993 Mar 29;155(13):973-7.
Over the last few years there has been considerable activity concerning quality assurance (QA) in health care. In order to investigate the actual consequences, we mailed a questionnaire to all Danish hospital managements, asking them to distribute it to leading doctors and nurses. 349 questionnaires from 51 hospitals were returned. The questionnaire was concerned with QA-activities, topics and methods, organisational aspects and attitudes amongst the professionals. Forty-eight percent of all hospitals, evenly distributed over all hospital and department categories, were represented in the survey. Fifty percent of respondents were doctors, 40% nurses. Eighty-seven percent had started quality assurance activities, typically clinically oriented research where doctors were concerned, and typically projects concerning communication with patients when initiated by nurses. Both groups had many projects concerning personnel policy, especially educational aspects. 3% of the activities were concerned with patient satisfaction. Knowledge of quality assurance principles was not yet widespread among the professionals, but 87% expressed positive attitudes. There is a need to define the concept of QA and to spread knowledge of QA-methods, if a systematic approach to QA is to be implemented.
在过去几年里，医疗保健领域围绕质量保证（QA）开展了大量活动。为了调查实际效果，我们向丹麦所有医院管理层邮寄了一份问卷，要求他们将其分发给主要医生和护士。共收到来自51家医院的349份问卷回复。该问卷涉及质量保证活动、主题和方法、组织方面以及专业人员的态度。调查涵盖了所有医院和科室类型中48%的医院。50%的受访者是医生，40%是护士。87%的医院已经开展了质量保证活动，就医生而言，通常是临床导向型研究，而护士发起的活动通常是与患者沟通相关的项目。两组都有许多关于人事政策的项目，特别是教育方面。3%的活动涉及患者满意度。质量保证原则在专业人员中尚未广泛普及，但87%的人表达了积极态度。如果要实施系统的质量保证方法，就需要明确质量保证的概念并传播质量保证方法的知识。
