van der Weide W E, Verbeek J H, van Dijk F J, Hulshof C T
Coronel Institute for Occupational and Environmental Health, University of Amsterdam.
Occup Environ Med. 1998 Jun;55(6):375-82. doi: 10.1136/oem.55.6.375.
To develop and apply a method for assessing the quality of the process of occupational health care for individual patients.
The scientific literature was studied to develop a method to assess the quality of the process of occupational rehabilitation for workers with low back pain. The method was applied to health care and university workers with low back pain who were rehabilitated by their occupational physicians.
Assessment of quality of care is regarded as a four step approach. Firstly, guidelines should be developed and implemented. Secondly, indicators for quality and criteria to demarcate good and deviant quality were derived from the guidelines. Thirdly, a method for data collection was chosen. Finally, quality was scored. For occupational rehabilitation, there was some deviance from the guidelines for most cases, especially in continuity of care with a deviant rate of 47%. Other indicators deviated from 1.4%-17.4%. Occupational physicians agreed on the relevance of the indicators and criteria, but for three indicators they evaluated the criteria as too rigid. They did not agree with their own performance scores in 66% of the deviant cases.
Assessing the quality of the process of occupational health care with this method is an asset to present methods, but more specific criteria are needed for a more sensitive assessment.
开发并应用一种评估个体患者职业健康护理过程质量的方法。
研究科学文献以开发一种评估腰痛工人职业康复过程质量的方法。该方法应用于由职业医生进行康复治疗的患有腰痛的医护人员和大学工作人员。
护理质量评估被视为一个四步方法。首先，应制定并实施指南。其次，从指南中得出质量指标以及区分优质和偏差质量的标准。第三，选择一种数据收集方法。最后，对质量进行评分。对于职业康复，大多数情况都与指南存在一些偏差，尤其是在护理连续性方面，偏差率为47%。其他指标的偏差率在1.4% - 17.4%之间。职业医生认同这些指标和标准的相关性，但对于三项指标，他们认为标准过于严格。在66%的偏差案例中，他们不同意自己的绩效评分。
用这种方法评估职业健康护理过程的质量是现有方法的一项优势，但需要更具体的标准以进行更敏感的评估。
