Quality assessment and monitoring. Retrospect and prospect.
Quality assessment and monitoring. Retrospect and prospect.
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DOI：
10.1177/016327878300600309
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发表时间：
1983-09-01
影响因子：
2.9
通讯作者：
Donabedian, A
中科院分区：
文献类型：
--
作者：
Donabedian, A
对《质量保证》两期特刊上的论文的评论，说明它们如何对一些重要的概念、方法和政策问题作出贡献。这些问题与质量的定义有关；质量评价与项目评价的区别市场在调节护理质量方面的作用；消费者更直接参与界定和评价质量的作用；质量专业责任；结构-过程-结果范式在质量评价中的适用性标准的格式、制定方法和有效性；评估主题的概率抽样和有目的的选择；标度和测量问题；工业控制方法在质量监控中的适用性根据质素监察的结果，作出行为改变；衡量质量评估方法的成本和收益，包括考虑其筛选效率；以及通过竞争或其他方式进行质量监控和成本控制之间的关系。
A commentary on the papers in the two special issues on Quality Assurance which shows how they contribute to some important conceptual, methodological, and policy issues. These issues pertain to the definition of quality; the distinction between quality assessment and program evaluation; the role of the market in regulating the quality of care; the role of more direct consumer participation in defining and assessing quality; professional responsibility for quality; the applicability of the structure-process-outcome paradigm to quality assessment; the format, methods of formulation, and validity of the criteria; probability sampling and purposive selection of the topics to be assessed; problems of scaling and measurement; the applicability of industrial control methods to quality monitoring; bringing about behavior change in response to the findings of quality monitoring; measuring the costs and benefits of quality assessment methods, including a consideration of their screening efficiency; and the relationship between quality monitoring and cost containment through competition or by other means.