醫療品質

Healthcare Quality

Shortell提醒我們：企業績效是由產量與品質兩大因素構成。基本上，具有豐富經驗的臨床醫生，才能提供較高的醫療專業品質。而豐富的經驗繫於患者數量的多寡；太少的患者數量，無法讓醫生培養熟練的技巧，並累積經驗；太多的患者數量，則讓醫生疲於奔命，無暇展現品質。另一方面，病患的多寡又決定於醫療服務品質的優劣。醫療服務品質與醫療專業品質，正是醫療品質的兩大內涵。本文將就此深入探討。

Shortell has pointed out that productivity and quality are the 2 major elements influencing enterprice performance. Basically, the highest-quality care of a particular problem was usually provided by practioners with a lot of experience in treating patients with that problem. The relationship between the volume of a service and its quality was complex, however. A high initial threshold level was necessary to achieve excellence, alter which a lower volume maintained expertise; that is, professional quality rose with increasing volume only to a point, beyond which there appeared to be a decline in professional quality with further increases in volume. On the other-hand, a good healthcare service quality may result in a higher volume of service. Therefore, service quality and professional quality are both important for healthcare.