监管在质量改进中的作用。
The role of regulation in quality improvement.
作者信息
Brennan T A
机构信息
Brigham and Women's Hospital, Harvard University, Boston, USA.
出版信息
Milbank Q. 1998;76(4):709-31, 512. doi: 10.1111/1468-0009.00111.
Many new methods for measuring the quality of health care have been devised since 1970. For the past ten years, the health care field has been struggling to integrate industrial models into its quality improvement systems. In order to judge whether regulation has evolved in tandem with these developments, three critical questions are examined: Is regulation improving the quality of health care? Are regulators integrating the tools of quality research into their oversight activities? Is there a way to combine continuous quality improvement (CQI) and modern methods of quality measurement into a new regulatory format? An exploration of these questions produces relatively little evidence that regulation has moved in the recommended direction, although there are some encouraging signs that regulators are becoming more responsive to the issues.
自1970年以来，已经设计出了许多衡量医疗保健质量的新方法。在过去十年中，医疗保健领域一直在努力将行业模式融入其质量改进体系。为了判断监管是否与这些发展同步演变，我们审视了三个关键问题：监管是否正在提高医疗保健质量？监管机构是否将质量研究工具纳入其监督活动？是否有办法将持续质量改进（CQI）和现代质量测量方法结合成一种新的监管形式？对这些问题的探索表明，几乎没有证据表明监管朝着推荐的方向发展，尽管有一些令人鼓舞的迹象表明监管机构对这些问题的反应越来越积极。
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