The Heart of A Healthcare Quality Forum之筆記（by Hanching Chung）
周五我的handout 請參考 醫療保健品質論譠 HANDOUT from hanching chung有問題 請連絡 23650127
Hanching Chung (or HC/ hc)
........隨便讀一下美國這領域的書，就會感到必須皓首才可能窮點經。對於美國醫療系統的品管等( 不錯的)簡介，可以參考Juran's Quality Handbook第五版之Healthcare Services 章。我看其中約三分之一所根據的是 T. Noland 等應用Deming 的改善應用— 論文兩篇關於等待和延誤之研究—約 1996。文中說到RAND 在70年代對於界定系統 —含顧客— 之貢獻。
和美國 W. Edwards Deming 協會：.
"Will the Utilization of Six Sigma, as a Tool in Healthcare Quality Management, Produce a Decrease in Medical and Medication Errors in the U.S. Healthcare System?" by S. Graser, Deming Scholar, Fordham University
(THE 12TH ANNUAL RESEARCH SEMINAR
13-14 February 2006 New York City)。【注二】
書名, 從體液論到醫學科學(From humors to medical science)作者, John Duffy. 青岛出版社，2000從體液論到醫學科學:美国医学的演進歷程
Does Health Care Have a Future?
by Joe Flower and David Knott
今年2007我在"中文品質百科" ；quality world 品質世界http://hcdeming.blogspot.com/ 和" 品質論壇"等blogs都剪貼不少關於英國 -台灣等醫療品質之資料，讀者很容易可以找到。
QualityTaiwan 中文品質百科 Search Result : 醫
有些醫院的病人末期的比率多 所以其5年"預後率"看來比較差 所以有許多因素讓公布的數據無法反映所謂"醫療品質"
Cancer centers release survival rates
The typical book about current affairs is better at describing problems than solutions. But there is a nice surprise at the end of “Overtreated.” (If you find yourself wishing the book had fewer anecdotes, I’d suggest you skip to the end rather than putting it down.) In plain English, Ms. Brownlee lays out an agenda for reform that is usually confined to academic journals.
It includes some steps that should be widely popular, like giving doctors incentives to explain the risks and benefits of procedures more clearly than they do now. Research has shown that patients frequently decide against marginal care when they know the true risks and benefits. Malpractice laws would also need to be changed so doctors were not sued by patients who later changed their minds.
Other solutions would be more difficult — because medical evidence is often murky, because hospitals and insurers would fight to keep their revenues and because most Americans think it’s the other guy who’s getting unnecessary treatment. These are the reasons that presidential candidates don’t focus on wasteful treatment.
But models for reform are out there. Hospitals that don’t use the fee-for-service model, like those run by the Veterans Health Administration, are already getting better results for less money. They closely track their performance — that is, the health of their patients — and motivate employees to improve it.
As I’ve written before, there is nothing wrong with devoting a large chunk of our economy to medical care. Since the 1950s, doctors have made incredible progress against diseases that were once inevitably fatal. That progress is probably the finest human achievement of the last half century.
If we weren’t wasting so much money on overtreatment, it would be a lot easier to repeat the achievement over the next half century.
行也blog 坐也blog 放下blog 何等自在：
台灣戴明圈: A Taiwanese Deming Circle
simon university總部 http://mypaper.pchome.com.tw
Books Birdviews 書海
People 人物 http://hcpeople.blogspot.com/
品質世界 quality world http://hcdeming.blogspot.com/
英文人行道 et cetera, et cetera . http://word-watcher.blogspot
英國風 The Island Race http://ukislandrace.blogspot
日本 心得帖 http://hcjapan.blogspot.com/
亞洲 Asia http://hcasia.blogspot.com/
城鄉歲月 What Time is This Place?
the world of tea http://hctea.blogspot.com/