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首页> 外文期刊>DMW: Deutsche Medizinische Wochenschrift >Quality of hospital care in Germany: Analysis of the trend between 2004 and 2008 from external quality assurance data [Qualit?t der station?ren Versorgung in Deutschland: Eine Analyse der Entwicklung zwischen 2004 und 2008 aus Daten der externen vergleichenden Qualit?tssicherung]
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Quality of hospital care in Germany: Analysis of the trend between 2004 and 2008 from external quality assurance data [Qualit?t der station?ren Versorgung in Deutschland: Eine Analyse der Entwicklung zwischen 2004 und 2008 aus Daten der externen vergleichenden Qualit?tssicherung]

机译：德国的医院护理质量：根据外部质量保证数据分析2004年至2008年之间的趋势。

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摘要

Background and objectives: Introducing fixed fees for inpatient hospital care has raised fears of a negative influence on treatment quality. To address these concerns, an external quality assurance was implemented. The results of the quality indicators should indicate changes in the quality of inpatient care between 2004 and 2008. Methods: On the basis of the evaluation data delivered by the Federal Quality Assurance Agency, quality indicators with similar results of at least 3 subsequent years were included. A trend was identified with linear regression as well as with a constant change in the results. 204 quality indicators of 19 health care sectors of 6 diagnosis groups were included. Results: Half of the quality indicators showed a particularly striking quality improvement in the categories indication and process. The lowest number of quality indicators with a quality improvement occurred in the cardiac surgery. To this diagnosis group also belong 13 of the 18 quality indicators with deterioration. Sixteen of the 18 quality indicators rank among the category result. Conclusion: The quality of inpatient care improved substantially from 2004 through 2008, measured against the quality indicators of the external comparable quality assurance. This corresponds to other analyses of a similar time period in Germany of the same or different data sources. Those analyses showed additionally that the subjective perceptions of clinicians and of nursing staff are significantly worse.
机译：背景和目标：为住院病人的住院治疗引入固定费用引起了人们对治疗质量产生负面影响的担忧。为了解决这些问题，实施了外部质量保证。质量指标的结果应表明2004年至2008年之间住院医疗质量的变化。方法：根据联邦质量保证局提供的评估数据，包括至少连续3年具有相似结果的质量指标。通过线性回归以及结果的恒定变化确定趋势。包括6个诊断组的19个医疗部门的204个质量指标。结果：一半的质量指标显示类别指示和过程中的质量特别显着提高。在心脏手术中发生质量改善的数量最少的质量指标。 18个质量指标中有13个质量下降，也属于这个诊断组。 18项质量指标中有16项属于类别结果。结论：根据外部可比较质量保证的质量指标，从2004年到2008年，住院护理质量得到了显着改善。这对应于德国对相同或不同数据源的相似时间段的其他分析。这些分析还表明，临床医生和护理人员的主观感觉明显较差。

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