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首页> 外文期刊>Arquivos Brasileiros de Oftalmologia >Qualidade do servi?o oftalmológico prestado aos pacientes ambulatoriais dos sistemas de saúde público e privadoQualidade do servi?o oftalmológico prestado aos pacientes ambulatoriais dos sistemas de saúde público e privado
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Qualidade do servi?o oftalmológico prestado aos pacientes ambulatoriais dos sistemas de saúde público e privadoQualidade do servi?o oftalmológico prestado aos pacientes ambulatoriais dos sistemas de saúde público e privado

机译：提供给公共和私人卫生系统门诊病人的眼科服务质量提供给公共和私人卫生系统门诊病人的眼科服务质量

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Dear Editor, we have read with great interest the publication entitled "Quality of the ophthalmological service to outpatients of the public and private healthcare systems"(1). Hercos and Berezovsky noted that "Satisfaction with the public healthcare system was significantly greater than that with the private healthcare system in terms of the tangibles, reliability, responsiveness, and assurance determinants of the SERVQUAL scale(1)." We agree that quality management is important for any medical service, including that related to ophthalmology. Nevertheless, one cannot focus solely on patient satisfaction, which is usually a subjective determinant. In some situations, necessary clinical management might cause patient dissatisfaction. More important focal points in the quality management of services should have been error reduction, patient safety, and effectiveness of clinical management(2-3). Finally, although the use of any criteria for the accreditation of service could be considered a good idea, it still requires maintenance after quality approval. It should be noted that accredited medical services, such as accredited medical laboratories, can still experience problems related to clinical service errors(4).
机译：亲爱的编辑，我们非常感兴趣地阅读了题为“对公共和私人医疗保健系统的门诊患者的眼科服务质量”的出版物。 Hercos和Berezovsky指出：“就SERVQUAL量表的有形，可靠性，响应能力和保证决定因素而言，对公共医疗系统的满意度明显大于对私人医疗系统的满意度。”我们同意质量管理对于任何医疗服务（包括与眼科有关的医疗服务）都至关重要。然而，人们不能只专注于患者的满意度，这通常是一个主观的决定因素。在某些情况下，必要的临床管理可能会导致患者不满意。服务质量管理中更重要的重点应该是减少错误，患者安全和临床管理的有效性（2-3）。最后，尽管使用任何标准的服务认证可以被认为是一个好主意，但在质量批准后仍然需要维护。应当指出的是，经过认可的医疗服务，例如经过认可的医学实验室，仍然会遇到与临床服务错误相关的问题（4）。

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