Casparie A F
Institute for Health Policy and Management, Erasmus University Rotterdam, The Netherlands.
Occup Med (Lond). 1998 Apr;48(3):203-6. doi: 10.1093/occmed/48.3.203.
Over the past few years there has been a growing interest in quality management in occupational health services. In this article the central role of the medical profession in this area is highlighted from a personal point of view. It is argued that a powerful and active profession is needed as a countervailing power in the field of tension between employees and the company, and for balancing the interests of these two main clients. Therefore, the medical profession should develop a policy on quality and apply quality management on national and local levels to reach a high professional level. In this way the profession can maintain the clinical autonomy that is necessary to be a countervailing power. Elements of such quality management are national guidelines, local peer review and intercolleagual visitation. These activities must be incorporated in the quality management of the occupational health services unit.
在过去几年中，人们对职业健康服务质量管理的兴趣与日俱增。在本文中，将从个人角度突出医学专业在该领域的核心作用。有人认为，在员工与公司之间的紧张关系领域，需要一个强大且积极的专业来作为一种抗衡力量，以平衡这两个主要客户的利益。因此，医学专业应制定质量政策，并在国家和地方层面应用质量管理，以达到较高的专业水平。通过这种方式，该专业可以维持作为抗衡力量所必需的临床自主性。这种质量管理的要素包括国家指南、地方同行评审和同行间互访。这些活动必须纳入职业健康服务单位的质量管理中。
