同行审查(peer review)对控制医疗费用和提高医疗质量的作用,一直是各国医院管理的中心议题之一。美国自60年代起强制实行同行审查制度,并由相应的机构--同行审查组织负责这项工作。同行审查制度受法律保护。该制度对医疗质量的审查虽然是回顾性的,但它避免了医疗资源的浪费,有助于保证使所有的病人得到一定质量的医疗。 The role of peer review in controlling medical costs and improving the quality of medical care has been one of the central topics of hospital management in various countries. Since the 1960s, the United States has imposed a peer review system and is responsible for this work by the appropriate agency, the peer review organization. The peer review system is protected by law. Although the review of medical quality in this system is retrospective, it avoids the waste of medical resources and helps ensure that all patients get a certain quality of care.