Dalaker K, Albrechtsen S, Jerve F, Løvset T, Nilsen S T, Nøostdahl W
Gynekologisk avdeling/fødeavdelingen, Aker sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Apr 10;117(9):1311-3.
This paper describes structure, process, results, and evaluation of the Norwegian Society of Gynaecology and Obstetrics' Guidelines in obstetrics. This work, which lasted for 2 1/2 years, involved almost all obstetrical departments in Norway and 1/4 of all members of the Norwegian Society of Gynaecology and Obstetrics. All members of the Norwegian Society of Gynaecology and Obstetrics were invited to answer 24 questions. Of the 63% who replied to the questionnaire, 44% and 48% respectively stated that the Guidelines in obstetrics were very good or good. The introduction of the Guidelines in obstetrics led to changes in routines in more than 70% of the hospitals, and the different categories of hospital physicians changed their routines as well (55-65%). 83% of the heads of the departments stated that the Guidelines in obstetrics served partly or totally as the model for the obstetrical management guidelines. The evaluation and the experience of this quality assessment handbook serve as perspectives for future work.
本文介绍了挪威妇产科学会产科指南的结构、制定过程、结果及评估情况。这项历时两年半的工作涉及挪威几乎所有产科部门以及挪威妇产科学会四分之一的会员。挪威妇产科学会的所有会员受邀回答24个问题。在回复问卷的63%的人中,分别有44%和48%表示产科指南非常好或较好。产科指南的引入使70%以上的医院改变了常规,不同类别的医院医生也改变了他们的常规(55%-65%)。83%的科室主任表示,产科指南部分或完全作为产科管理指南的范本使用。对这本质量评估手册的评估及经验可为未来工作提供参考。