Selbmann H K, Geraedts M
Institut für Medizinische Informationsverarbeitung, Universität Tübingen, Germany.
Eur J Obstet Gynecol Reprod Biol. 1997 Feb;71(2):223-7. doi: 10.1016/s0301-2115(96)02640-1.
In the light of exploding costs in health care and increasing demands for public accountability, gynecological surgeons are forced to improve the effectiveness and efficiency of their care in order to increase the satisfaction of their 'clients'. To do so, the implementation of a structured quality management system in gynecological care units is strongly encouraged. Basic requirements for an efficient quality management system comprise developing appropriate structures for the system, training staff in management techniques and using tools to monitor the quality of care. An important part of a quality management system is structured data collection permitting regional benchmarking between hospitals. The study 'Quality assurance in gynecological surgery' of the German Society of Gynecology and Obstetrics is mentioned as an example of such an external measure. Profiles help gynecological care units to recognize problem areas of their care. A list of further structural characteristics of a quality-oriented gynecological care unit, such as second opinion techniques or the application of clinical practice guidelines, is given to enable the evaluation or certification of quality management systems in gynecological departments.
鉴于医疗保健成本的激增以及对公共问责制的需求不断增加，妇科外科医生被迫提高其医疗服务的有效性和效率，以提高“客户”的满意度。为此，强烈鼓励在妇科护理单位实施结构化质量管理体系。高效质量管理体系的基本要求包括为该体系建立适当的架构、对员工进行管理技术培训以及使用工具来监测医疗质量。质量管理体系的一个重要部分是结构化数据收集，以便在医院之间进行区域基准比较。德国妇产科学会的“妇科手术质量保证”研究被作为此类外部措施的一个例子提及。概况有助于妇科护理单位识别其护理中的问题领域。给出了以质量为导向的妇科护理单位的一系列进一步结构特征，如二次诊断技术或临床实践指南的应用，以便对妇科部门的质量管理体系进行评估或认证。
