How can we improve the quality of health care in Japan? Learning from JCQHC Hospital Accreditation
How can we improve the quality of health care in Japan? Learning from JCQHC Hospital Accreditation
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DOI：
10.1016/s0168-8510(03)00043-5
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发表时间：
2003-10-01
期刊：
影响因子：
3.3
通讯作者：
Evans, E
中科院分区：
文献类型：
--
作者：
Hirose, M;Imanaka, Y;Evans, E
《2000年世界卫生报告》将日本列为卫生系统整体成就的第一名：考虑到除了讨论过度支出之外，卫生保健专业人员和卫生部最近很少关注卫生保健的质量，这是一个令人惊讶的发展。日本的免费医疗政策和全民医疗制度实际上培养了一种非常宽松的评估态度。出于对患者安全可能存在的风险的担忧，医生们成立了一个志愿者协会，以促进优质医疗保健问题。1995年，日本优质医疗保健理事会（JCQHC）成立，以实施第三方医院认证。在JCQHC成立的同时，医疗事故诉讼费用的急剧上升促使当局和医疗机构在不同层面上努力保护患者安全。尽管世界卫生组织的评价是积极的，但批评人士认为，日本的医疗保健仍然存在严重的不公平现象。例如，私立和公立医院之间的财政不平等，以及农村和城市地区之间医院和医生的数量和质量。为了保护病人的安全和提高护理质量，必须尽一切努力消除医疗保健系统中的不公平现象。JCQHC认证是促进这些努力的重要工具。(C)2003爱思唯尔科学爱尔兰有限公司保留所有权利。
The World Health Report 2000 placed Japan first for overall health system attainment: a surprising development considering that, aside from discussing excessive expenditure, health care professionals and the Health Ministry have paid little attention recently to the quality of health care. Japan's free access policy and the universal health care system have actually fostered a very relaxed attitude toward evaluation. Concerned about the possible risks to patient safety, physicians established a volunteer association to promote quality health care issues. Then in 1995, the Japan Council for Quality Health Care (JCQHC) was founded to implement the third party accreditation of hospitals. Concurrent with the formation of the JCQHC, the sharply rising costs of malpractice litigation motivated the authorities and medical facilities to work toward protecting patient safety at different levels. Despite the WHO's positive review, critics maintain that significant inequities still exist in Japanese health care. Examples include, financial inequities between private and public hospitals, and the number and quality of hospitals and physicians between rural and urban areas. To protect patient safety and improve the quality of care, every effort must be made to eliminate inequities in the health care system. JCQHC accreditation is an important tool for furthering these efforts. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.