Phoon J, Corder K, Barter M
Department of Nursing Administration, School of Nursing, University of San Francisco, USA.
J Nurs Care Qual. 1996 Jan;10(2):25-32. doi: 10.1097/00001786-199601000-00005.
The process of quality improvement/total quality management (QI/TQM) plays a key role in the delivery of health care in a managed care system. The concepts and ideas surrounding QI/TQM and managed care are interrelated, and the success of health care delivery depends on the integration and coexistence of these two philosophies. In looking more closely at these concepts, it becomes clear that the principles of QI/TQM must underlie strategic decisions involved in the implementation of a managed care system. Nurses play a key role in the success of this integration as nurse case managers, nurse practitioners, and nurse administrators. They have a direct impact on the many variables and goals of both QI/TQM and managed care.
质量改进/全面质量管理（QI/TQM）过程在管理式医疗系统的医疗服务提供中起着关键作用。围绕QI/TQM和管理式医疗的概念与理念相互关联，医疗服务的成功交付取决于这两种理念的融合与共存。更深入地审视这些概念后可以清楚地看到，QI/TQM的原则必须作为管理式医疗系统实施过程中战略决策的基础。护士作为个案管理护士、执业护士和护理管理人员，在这种融合的成功中发挥着关键作用。他们对QI/TQM和管理式医疗的诸多变量及目标都有直接影响。
