Lorenz W, Koller M
Institut für Theoretische Chirurgie, Philipps-Universität Marburg.
Zentralbl Chir. 1996;121(7):545-51.
The concept of quality of life (QL) is hardly discussed with respect to quality management in patient care. We will show that QL-assessment can make important contributions to quality management. QL is assessed by means of standardized questionnaires and can be displayed in the form of quality of life profiles. These results are important since patients self-assessments often differ to a large extent from physicians' judgements. QL-profiles allow for a depiction of the individual case at a given time, as well as for the evaluation of the course of therapies. Adopting this methodological concept, a large field study involving practitioners in the region aims at researching therapy outcomes with regard to rectal and breast carcinoma. Regular interim data analyses and discussion of the results in quality circle groups focuses at the immediate eliminating of mismanagement in patient care (action research).
在患者护理质量管理方面,生活质量(QL)的概念很少被讨论。我们将表明,QL评估可为质量管理做出重要贡献。QL通过标准化问卷进行评估,并可以生活质量概况的形式呈现。这些结果很重要,因为患者的自我评估往往在很大程度上与医生的判断不同。QL概况有助于在特定时间描绘个体病例,以及评估治疗过程。采用这种方法概念,一项涉及该地区从业者的大型实地研究旨在研究直肠癌和乳腺癌的治疗结果。定期进行中期数据分析并在质量圈小组中讨论结果,重点是立即消除患者护理中的管理不善(行动研究)。