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首页> 美国卫生研究院文献>Acta Bio Medica : Atenei Parmensis >The accreditation system of Italian medical residency programs: fostering quality and sustainability of the National Health Service
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The accreditation system of Italian medical residency programs: fostering quality and sustainability of the National Health Service

机译：意大利医疗居住计划认证体系：提高国家卫生局的质量和可持续性

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In June 2017, University and Health Ministries jointly enacted a decree implementing a new accreditation system for the Italian post-graduate medical schools (residency programs). We report the innovations introduced through the reform. Universities were called to submit post-graduate medical school projects to the National Observatory on medical residency programs, the inter-institutional committee responsible for the entire accreditation process, through an interactive web platform. The adherence to minimum standards, requirements and the performances were measured. After this first assessment, universities were asked to provide programs of improvement for critical schools. At the end of the evaluation, residency schools were proposed for a full or a partial accreditation. Of the 1,431 post-graduate medical school projects submitted to the National Observatory by 37 public and 4 private Universities, 672 (47.0%) obtained a full accreditation, 629 (43.9%) a partial accreditation, with a gap to be filled within a two-year period according to a specific improvement programme, while 130 (9.1%) were not accredited. Further, 1,254 out of the 1,301 schools with a full or partial accreditation were activated according to the available public financial resources, excluding those performing the lowest. Annual surveys were in place to investigate the residents’ level of satisfaction concerning the quality of the training programs. The National Observatory further developed an experimental methodology to conduct on-site visits to support quality improvement. This reform can be considered an important initiative to guarantee high standards in the quality of care and to face the challenge of sustainability for the National Health System. ( )
机译：2017年6月，大学和卫生部共同颁布了一项法令，对意大利的研究生医学院（居住计划）实施新的认证制度。我们报告了通过改革引入的创新。要求大学通过交互式网络平台向国家天文台提交有关医学驻留项目的研究生项目，该项目是负责整个认证过程的机构间委员会。测量对最低标准，要求和性能的遵守情况。在进行第一次评估后，要求大学为重点学校提供改进计划。在评估结束时，建议对居住学校进行全部或部分认证。在37所公立大学和4所私立大学向国家天文台提交的1,431个研究生医学院项目中，有672个（47.0％）获得了完全认证，有629个（43.9％）得到了部分认证，两者之间的差距可以弥补根据一个特定的改进计划，为期一年，而130个（9.1％）未被认可。此外，根据可获得的公共财政资源（不包括成绩最低的学校），激活了全部或部分认证的1,301所学校中的1,254所。进行了年度调查，以调查居民对培训计划质量的满意度。国家天文台进一步开发了一种实验方法，可以进行现场访问以支持质量改进。可以将这项改革视为一项重要举措，以确保高水平的护理质量并应对国家卫生系统的可持续性挑战。 （）

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