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首页> 外文期刊>Journal of evaluation in clinical practice >Evaluating instruments for regulation of health care in the Netherlands.
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Evaluating instruments for regulation of health care in the Netherlands.

机译：在荷兰评估卫生保健监管手段。

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OBJECTIVES: Reliable and valid judgments are necessary for regulatory authorities to merit confidence from care institutions and society and preserve authority. Moreover, limited reliability and validity of regulatory judgments increase the risk of limited improvement of the quality of health care. The goal of the study is to obtain insight in (dis) advantages of different regulatory instruments for regulation of health care. METHOD: In this study, the reliability and validity of judgments generated by a lightly structured and highly structured regulatory instrument used by the Dutch Health Care Inspectorate are compared. RESULTS: Results indicate that the lightly structured instrument causes a large variety in discussed topics in regulatory visits: indicators pointing out potential risks in care are not always part of these discussions, by which incentives to improve care remain unjustly undone. Both types of instruments show variations in the meaning of judgments, indicating validity problems. CONCLUSION: The results of our study suggest that regulation of health care requires thorough appraisal of instruments. Several requirements are identified: first, an instrument that justifies the complexity of care with an accompanying explicit set of standards is necessary. Second, commitment of inspectors to the instrument is essential. And third, training of inspectors is indispensable.
机译：目标：可靠而有效的判断对于监管机构从护理机构和社会中赢得信任并维护权威至关重要。此外，监管判断的可靠性和有效性有限，增加了医疗质量有限改善的风险。这项研究的目的是了解不同法规对医疗保健的监管优势。方法：在这项研究中，比较了由荷兰卫生检查局使用的结构轻巧和结构高度规范的监管工具所做出判断的可靠性和有效性。结果：结果表明，结构宽松的工具在监管访问中引起了广泛的讨论主题：指出护理潜在风险的指标并不总是这些讨论的一部分，通过这些指标，改善护理的动机仍然不合理地被取消。两种类型的工具在判断的含义上都有差异，表明存在有效性问题。结论：我们的研究结果表明，卫生保健的监管需要对仪器进行全面评估。确定了几项要求：首先，有必要用一套明确的标准来证明护理的复杂性。第二，检查员对文书的承诺至关重要。第三，对检查员的培训是必不可少的。

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