2010年12月6日星期一

Foreign medical services the concept of quality


Medical Interview Preparation - Duties of a Doctor


Foreign medical services the concept of quality

Liu Muqiao


Manage in the hospital year in evaluating a standard, the level of each places is different, subjective standard the standard of over reality. We serve quality in what talk about a hospital, often by scrutator feel or beforehand self-ordained standard will judge. As the hospital of service industry, what abroad carries out now is " service quality of perception "

In the serves quality course that evaluating a hospital, we have a wrong idea all the time, what is the standard that judges a hospital to serve quality namely then? The level that we use normally with respect to ourselves or above the standard that establishs when the examination, reach such level, it is good to serve quality namely. We exclude the patient completely to the feeling of the hospital outer. It is with the person this, it is central idea with the patient, let us notice to rise the patient‘s feeling. Such service quality is the service quality that our hospital should go after.







Service quality of perception


Serve the theory of quality about medical services, approbatory of the person that it is much maths in the world is the view that summarizes by place of American scholar AvedisDonabedian, recount mass of service of evaluation medical services for 3 parts, namely basic structure (Structure) , executive process (Process) with medical services effect (Outcome) . He ever mixed this kind theoretically 1980 Sheps (1955) , DeGeyndt (1970) , Dror (1968) the theory that waits for a person undertakes thorough ground analyses contrast. Although still be put in the controversy, but the scholars that already served quality for a lot of evaluation medical services are cited.

1. Basic structure is the fundamental condition that points to medical establishment, include personnel to deploy (requirement of qualification of each professional medical personnel, deploy an amount to wait) , building and equipment (the building condition that is like ward, surgery, examine or the equipment capability that radiation checks) reach constituent situation (if duty of of all kinds personnel divides the work,wait) . Evaluating basic structure is the indirect evaluation that serves quality to medical services. Do not have;equal;fitter;fittest;qualified;equal to personnel apparently, without necessary establishment, the good organization that does not have pair of personnel and equipment, regulations system that use and runs, medical services quality to also do not have the basiccest assurance.

2. Executive process is to point to after the condition is being narrated before provide, run a requirement according to the technology, if make a diagnosis and give services,groovy, operating rules, duty spends the executive circumstance that wait. These standards are the formulate of science and technology with more mature at that time basis. Make obtain medical services effect and avoid risk respect to have larger possibility. Somebody thinks to carrying out optimal of medical services process assessment technique is spot observation. But this kind of method also cannot observe of the process all, be like certain and tiny movement, and time-consuming and arduous, cost is too high, can apply inside narrow range only. More people think the medical services activity that the examination concerns is recorded, can understand the general situation of executive process. This part evaluates basiccer structure further, still not be effect of immediate medical services, but in make sure medical services quality respect to having active sense.

3. Medical services effect is the way with long already continue to use of quality of service of evaluation medical services, also be final with the most reliable basis. Undertake to the result of medical services activity that already achieved the gender is checked retrospective normally, discover a problem from which. Have the room of the change no longer to already completing a part, but can be improved to will working henceforth or remedy.

The basic structure that examines a hospital consequently is helpful for making with executive process reach lowermost level, the situation that prevents medical services of a few influences to serve quality happens, belong to preventive measure. This serves in modern medical services is the link that is taken very seriously in quality management.

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