Holl R W
Department of Pediatrics, University of Ulm, Germany.
Horm Res. 1998;50 Suppl 1:68-73. doi: 10.1159/000053108.
Despite modern treatment regimens, late complications in IDDM patients are still prevalent. Even in developed countries, a significant number of patients do not get the treatment which would be considered optimal based on the present state of medical knowledge. Quality documentation provides a successful approach to unmask deficits and to improve the outcome of care. Structural aspects as well as process and outcome indicators are different in pediatric diabetology compared to the care of adult patients. The German Working Group on Pediatric Diabetology has discussed and finalized a Statement on Quality Control, including specific parameters to be recorded prospectively in all patients. Under the auspices of the German Ministry of Health, a Computer Program designed for inpatient and outpatient care in pediatric diabetology was developed. Among many other features, internal and external quality control according to the guidelines of the German Working Group are facilitated by this approach, as no separate data entry is required. This program is now widely used among pediatric--as well as some adult--diabetes centers in Germany. Regular external comparisons of quality indicators are organized by the Working Group.
尽管有现代治疗方案，但胰岛素依赖型糖尿病（IDDM）患者的晚期并发症仍然很普遍。即使在发达国家，也有相当数量的患者没有得到基于当前医学知识水平应被视为最佳的治疗。高质量的文档记录为揭示缺陷和改善护理结果提供了一种成功的方法。与成人患者护理相比，儿科糖尿病学在结构方面以及过程和结果指标上有所不同。德国儿科糖尿病学工作组已经讨论并最终确定了一份关于质量控制的声明，包括所有患者需前瞻性记录的特定参数。在德国卫生部的支持下，开发了一个用于儿科糖尿病学住院和门诊护理的计算机程序。除了许多其他功能外，这种方法便于按照德国工作组的指南进行内部和外部质量控制，因为无需单独的数据录入。该程序目前在德国的儿科以及一些成人糖尿病中心广泛使用。工作组定期组织质量指标的外部比较。
