OBJECTIVE:To obtain information to help design and implement quality improvement programmes.

DESIGN:Questionnaire survey.

SETTING:Swiss University Hospitals.

STUDY PARTICIPANTS:Clinical Department heads.

MAIN OUTCOME MEASURES:Attitudes towards quality assurance and percentage of departments with procedures for measurement and improvement of structure, process and outcome of medical care.

RESULTS:Among 138 departments responding, 69 indicated a designated person or group in charge of quality and 57 were involved in collaborative quality improvement programmes. Mortality data at the level of the department was unavailable to 33% of respondents, and data on adverse treatment effects to 67% of them. Most respondents (69%) favoured the use of outcome indicators for quality control; only 13% favoured indicators pertaining to process or structure of care. Among indicators of outcome, patient satisfaction was the preferred indicator (25% of respondents), followed by morbidity (16%) and mortality (12%) data.

CONCLUSION:Although the quality of medical care in Switzerland enjoys an excellent reputation, this study highlights important gaps in the information system and the processes necessary to evaluate quality.

译文

目标:获取信息以帮助设计和实施质量改进计划。

设计:问卷调查。

设置< / strong>:瑞士大学医院。

研究对象:临床部门负责人。

主要观察指标:对质量保证和态度的态度

结果:在138个部门中,有69个部门指定了负责质量的人员或小组和57个参与了合作质量改进计划。 33%的受访者无法获得部门级别的死亡率数据,而67%的人没有获得不良治疗效果的数据。大多数受访者(69%)赞成使用结果指标进行质量控制;只有13%的人赞成与护理过程或结构有关的指标。在结果指标中,患者满意度是首选指标(占受访者的25%),其次是发病率(16%)和死亡率(12%)数据。

结论:尽管瑞士的医疗质量在声誉方面享有极高的声誉,这项研究突出了信息系统和评估质量所必需的流程中的重要差距。

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