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苏联卫生部长E·恰佐夫在《真理报》撰文说,我们要提高医疗质量,就应该恰当地评价自己的工作。评价地区医院医生工作质量的指标不应是门诊和出诊次数,而应是由他负责的这个地区居民的身体状况。以工作质量和医疗成果作为目标,是一种强有力的促进因素。如果地区医院的医生认识到,他的工资和福利取决于他所负责的这个地区人身的身体状况,那么,他就会重视疾病的预防工作,因为这比治病更容易些。我们的医疗保健事业,长期以来追求数量指标,在管理经营方面思想保守,下级机关缺乏主动性和自主权,评价工作时忽视物质刺激,导致
The Minister of Health of the Soviet Union E. Chitsov wrote in the Pravda that if we want to improve the quality of medical care, we should properly evaluate our work. The indicators for assessing the quality of work of doctors in district hospitals should not be the number of outpatient visits and visits, but should be the physical conditions of the residents of the area that he is responsible for. Targeting work quality and medical outcomes is a powerful contributing factor. If a doctor at a regional hospital recognizes that his wages and benefits depend on the physical condition of the area he is responsible for, he will attach importance to the prevention of the disease because it is easier than treating the disease. Our health care business has long been pursuing quantitative indicators. We are conservative in management and management. Our lower level agencies lack initiative and autonomy. We ignore material stimuli in our evaluation work.