[对医疗保健质量的概念解释]
Zoltán Ónodi-Szűcs1, János Sándor2, Szilvia Vincze1
11 Debreceni Egyetem, Kancellária Debrecen, Nagyerdei krt. 98., 4032 Magyarország.
Orvosi hetilap
|November 30, 2025
概括
医疗保健质量是从结构,过程和结果的维度演变而来的. 匈牙利在采取以患者为中心的做法方面落后,这与私人提供者相比,影响了社会保险医疗保健.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 医疗保健质量的概念起源于20世纪中叶,Avedis Donabedian的1966年框架将结构,过程和结果作为关键维度.
- 世界卫生组织和经合组织等国际组织进一步完善了医疗保健质量概念,强调了定量指标和核心特征.
- 经合组织的"医疗保健质量指标"项目 (2006年启动) 强调了有效性,安全性和以患者为中心,这些因素对所需的健康结果至关重要.
研究的目的:
- 审查医疗保健质量概念的历史发展.
- 分析匈牙利医疗保健质量概念的现状,特别是关于以患者为中心.
- 确定挑战并提出未来的方向,使匈牙利医疗保健质量标准与国际基准保持一致.
主要方法:
- 关于医疗保健质量的开创性作品和国际项目的文献综述.
- 对医疗保健质量框架的比较分析,重点关注经合组织标准和匈牙利实践.
- 检查在匈牙利医疗保健质量评估中纳入患者为中心的因素.
主要成果:
- 匈牙利还没有完全整合经合组织的医疗保健质量概念,特别是忽略了以患者为中心.
- 有效性和安全性得到认可,但以患者为中心,这是经合组织的一个关键特征,在国家质量监测中发展不足.
- 匈牙利目前的患者满意度指标仅代表了以患者为中心的更广泛概念的有限方面.
结论:
- 匈牙利的医疗保健系统面临的缺点是,它没有完全采用国际医疗保健质量标准,特别是以患者为中心.
- 与国际概念保持一致对于解释医疗保健结果和确保积极的患者体验至关重要.
- 未来的努力应集中在开发和整合以患者为中心的匈牙利医疗保健质量框架中,以改善系统性能和患者的结果.
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