Coulthard S W
Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol. 1976 Jul-Aug;82(4):ORL 413-6.
At the present time, the University of Michigan Hospital Department of Otorhinolaryngology has an 18-month experience in a quality assessment program directed toward compliance with PSRO legislation. This experience, we hope, provides an approach to the continuing assessment of medical care, whether it is for conforming to a particular legislative action or for the evaluation of patient care. It has been encouraging to the physicians involved that this is a program which is organized at the local level. It is oriented toward the local physician and in most instances will be administered by local physicians. The process of quality assessment has provided a milieu for educational experience and positive action toward correction of medical care problems. It has been said before that this may be the last opportunity for the physician to maintain control at the local level. This may be the opportunity for the profession to proceed with controlled quality assessment before outside agencies intercede.
目前，密歇根大学医院耳鼻喉科在一项旨在遵守医师标准审查组织（PSRO）立法的质量评估项目方面已有18个月的经验。我们希望，这一经验能为持续评估医疗护理提供一种方法，无论是为了符合某项特定立法行动，还是为了评估患者护理。参与其中的医生们感到鼓舞的是，这是一个在地方层面组织的项目。它以地方医生为导向，在大多数情况下将由地方医生管理。质量评估过程为教育体验以及针对医疗护理问题进行纠正的积极行动提供了一个环境。以前有人说过，这可能是医生在地方层面维持控制权的最后机会。这可能是该行业在外部机构介入之前进行可控质量评估的契机。
