Quality assurance strategies in U.S. and Canadian psychiatry.

S T Firth, S Lazare
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引用次数: 8

Abstract

Quality Assurance Strategies in Psychiatry and Medicine in general have developed rapidly and have been applied widely in the last few years, particularly in the United States. This paper reviews some of those developments both from a methodological and a socio-political point of view. The relevance to the Canadian scene is evaluated, and it is concluded that, although quality assurance is now accepted as an obligation of the health profession, some of the strategies being widely applied in the United States are of questionable value in themselves, and some, particularly cost control techniques, would seem to be irrelevant to the Canadian health field which already has a variety of checks and balances in its universal health insurance system. Though cost control and quality control logically overlap, at times they are allowed to merge and cause conceptual confusion. Finally, as systems are developed in Canada, it is suggested that a means of self-assessment be built in so that the validity and reliability are not in doubt.

美国和加拿大精神病学的质量保证策略。
精神病学和医学的质量保证策略在过去几年中发展迅速,得到了广泛应用,特别是在美国。本文从方法论和社会政治的角度回顾了其中的一些发展。对其与加拿大情况的相关性进行了评价,得出的结论是,虽然质量保证现在已被接受为卫生专业的一项义务,但在美国广泛应用的一些战略本身的价值值得怀疑,有些战略,特别是成本控制技术,似乎与加拿大卫生领域无关,因为加拿大的全民健康保险制度中已经有各种制衡措施。虽然成本控制和质量控制在逻辑上是重叠的,但有时它们被允许合并并造成概念上的混淆。最后,随着系统在加拿大的发展,建议建立一种自我评估的手段,使有效性和可靠性没有疑问。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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