Huk W J
Abteilung für Neuroradiologie, Neurochirurgischen Klinik, Universität Erlangen-Nürnberg.
Aktuelle Radiol. 1995 Nov;5(6):343-5.
Due to growing economic pressure, quality management in medicine has to be performed under the aspect of rationing and rationalization simultaneously. High quality and cost effectiveness in medicine, however, can only be achieved by institutions with an adequate quality of structure, procedure and outcome. While the technical criteria of the quality of structure can easily be measured, the assessment of the quality of the performance and the outcome are much more difficult so establish. Therefore standards of quality for the various diagnostic and interventional subspecialties of Neuroradiology have to be designed. The same is true for the evaluation of the quality assurance. The quality of neuroradiology has reached a comparatively high level simply because of the specialization compared to general radiology. This advantage should be utilized more often when major diagnostic departments are to be installed, particularly under the aspect of cost effectiveness plus high quality medicine.
由于经济压力不断增大,医学质量管理必须同时在配给和合理化的层面上进行。然而,只有具备适当的结构、程序和结果质量的机构才能实现医学的高质量和成本效益。虽然结构质量的技术标准很容易衡量,但绩效质量和结果的评估要难得多,因此必须设计神经放射学各诊断和介入亚专业的质量标准。质量保证的评估也是如此。与普通放射学相比,神经放射学由于专业化,其质量已达到相对较高的水平。在设立主要诊断科室时,应更多地利用这一优势,特别是在成本效益和高质量医学方面。