Ringversuche in der Begutachtung als Instrument im Qualitätsmanagement.
Traduction en anglais : Intercomparison survey programmes for the assessment of quality management realisation.
An intercomparison programme was carried out as part of the quality management of medical assessments in the public health service in Baden-Württemberg.
All physicians who performed medical assessments in January 1997 were invited to participate.
They received a case description adopted from medical records of a precedent case (56-year-old head of a department in an administrative authority, severely disabled after left-sided stroke with residual right-sided partial hemiparesis, reduced work performance), and were asked to assess whether the patient was permanently unable to work.
Access to medical expert opinions was requested.
Participation was voluntary.
Assessments were reviewed twice as to whether five prospectively defined evaluation criteria were fully met, or only partially or not at all.
Participants and reviewers remained unknown to each other.
Among 246 eligible physicians, 103 returned an assessment (43%). Forty-five respondents had requested additional expert opinions.
Anticipations for five criteria were met to their full extent with regard to :
formal construction, all submissions ;
case description, 84% ;
sociomedical diagnosis, 65% ;
description of ability to work, 53% ;
and response to the question posed, 75% of submissions.
The programme required considerable work time in its preparatory, field, and evaluation phases. (...)
Mots-clés Pascal : Qualité, Evaluation, Diagnostic, Médecin, Personnel sanitaire, Homme, Critère, Comparaison interindividuelle, Allemagne, Europe
Mots-clés Pascal anglais : Quality, Evaluation, Diagnosis, Physician, Health staff, Human, Criterion, Interindividual comparison, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0414978
Code Inist : 002B30A01C. Création : 25/01/1999.