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On continuous quality improvement(CQI)Programs in heal thservices,a number of aspects are discussed: methodology for developing quality appraisal standards and clinical practice guidelines in specialized professional areas through corresponding academic committees; promotion of quality assurance initiatives which contribute to health services' equity, access, efficiency and cost-effectiveness under new financial arrangements designed and imlplemented in reforms of health service system; evaluation... On continuous quality improvement(CQI)Programs in heal thservices,a number of aspects are discussed: methodology for developing quality appraisal standards and clinical practice guidelines in specialized professional areas through corresponding academic committees; promotion of quality assurance initiatives which contribute to health services' equity, access, efficiency and cost-effectiveness under new financial arrangements designed and imlplemented in reforms of health service system; evaluation and appropriate use of changes which occur over time, in medical technology, modes of treatment and in preference; research and selection of the most suitable alternatives since all hospitals do not have the same level of resources and since services have to be sometimes provided with less than ideal resources; strengthening of inter-and intra-hospital vertical and lateral mutual aid and cooperation for common benefits of CQI programs in health services. 研究建立了病例质量分层综合评价模型,通过使用认为本评价方法有如下优点:(1)体现了以病人为中心优质服务的主导思想;(2)此方法容易理解,简便易行,适于推广;(3)较好地进行了分层次质量评价;(4)有利于应用计算机进行病例质量管理。 Investigating health service equity in Henan rural area, the author found unfair in economic condition, health status, availability of health service, collection funds and so on among the countryman. Poverty was the dominant factor causing the unfair. So the government should reform health system greatly to change the unfair. 通过对河南省农村地区卫生服务公平性的调查分析 ,得出河南省农村居民在经济状况、健康、卫生服务的提供、可及性以及卫生服务筹资等方面都存在着不同程度的不公平 ,经济困难是造成未就诊或未住院即卫生服务利用不公平性的主要因素。因此 ,国家和政府有关部门有责任加大卫生改革的力度 ,改善这种不公平现状。 The connotation of health service equity is referring to the right equity under the same health or disease condition, and the basic demand of health service should be equal completely. The realizing of health service equity rule should have homologous social economical condition. Under the current condition, we can only accomplish the completely equal standard of basic health service from the measure of building medical security system, elevating the aquirability and access of health... The connotation of health service equity is referring to the right equity under the same health or disease condition, and the basic demand of health service should be equal completely. The realizing of health service equity rule should have homologous social economical condition. Under the current condition, we can only accomplish the completely equal standard of basic health service from the measure of building medical security system, elevating the aquirability and access of health service, subsiding basic health service and so on. 卫生服务公平的内涵是指在同等健康与疾病状况下接受卫生服务的权利公平 ,并且基本卫生服务需要应该完全平等。卫生服务公平原则的实现需要有相应的社会经济条件作为基础 ,在当前情况下只能通过建立医疗保障制度 ,提高卫生服务可得性和可及性 ,以及补贴基本卫生服务等措施 ,达到基本卫生需要完全均等的标准。
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