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品質運動における医師の専門職委員会の認定ステータスの役割
Troyen A Brennan1, Ralph I Horwitz, F Daniel Duffy
1American Board of Internal Medicine, Philadelphia, Pa, USA. tabrennan@partners.org
JAMA
|September 2, 2004
まとめ
医者委員会の認定ステータスは,医療の質を向上させるための貴重な手段です. 証拠は,それが能力と患者の安全に関連していることを示しており,公衆は医師の継続的な再評価を強く支持しています.
科学分野:
- 医療の質の向上 医療の質の向上
- 医者の能力評価について
背景:
- 医学研究所は,医療の質を高めるためのシステムベースのアプローチを提唱しています.
- 品質の向上における医師会認定の役割については,さらなる検討が必要である.
研究 の 目的:
- 品質改善イニシアチブにおける現在の医師委員会の認定ステータスの重要性に関する証拠と理論を要約する.
- ボード認定,医師の能力,患者の成果との関連性を探求する.
主な方法:
- 試験,能力の相関,および臨床的結果を含む,機内認証の有効性に関する証拠のレビュー.
- 誤り防止理論を医療に応用し,取締役会認定に必要な行動に結びつける.
- 医者の認定と継続的な能力に対する公衆の認識に関するギャラップの世論調査データを分析.
主要な成果:
- ボード認証の有効性は,テストプロセスによってサポートされ,医師の能力と臨床結果と相関しています.
- 取締役会の認定のために開発されたものと類似した根付いた行動習慣を活用することによって,患者の安全性を改善することができます.
- 公衆は医師の認定と認定の維持を高く評価し,医師の資格のより頻繁な再評価を望んでいます.
結論:
- 医者委員会の認定ステータスは,医療品質改善運動の重要な,証拠に基づいた対策です.
- 医者の資格の継続的な評価は,患者の安全と医療の質の向上に不可欠です.
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