Gebert A J
Vereinigung für Qualitätssicherung und Qualitätsförderung im Gesundheitswesen VQG, Kehrsatz.
Swiss Surg. 1995(1):8-14.
Ten conceptual approaches make up most of the basis for attempts to deal with quality in healthcare. Quality assessment, quality approvement, and quality assurance are related to the instrumental categories for dealing with quality. At first glance, outcome analysis seems to be most logical. However, the process of healthcare-delivery is of considerable importance and should not be neglected in favor of outcome studies. Accreditation seems promising for obtaining about compliance with standards which serve as a certain degree of guarantee for the prevention of problems. Standards are most prominently connected with structure. With the help of guidelines the process of providing care can be improved. Indicators related to process and outcomes may serve as "flags" for problems. Without continuous evaluation, studies quite often result in no direct contribution to quality improvement and quality assurance.
十种概念性方法构成了医疗保健领域质量相关尝试的大部分基础。质量评估、质量改进和质量保证与处理质量的工具类别相关。乍一看，结果分析似乎最合乎逻辑。然而，医疗服务提供过程相当重要，不应为了结果研究而被忽视。认证对于确保符合标准似乎很有前景，这些标准在一定程度上保证了问题的预防。标准与结构的联系最为显著。借助指南可以改进护理提供过程。与过程和结果相关的指标可作为问题的“警示信号”。如果没有持续评估，研究往往对质量改进和质量保证没有直接贡献。
