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美国政府在六十年代后期已开始将医疗经费直接拨给医疗单位,这就要为那些享受公费医疗者提供某种形式的医疗质量保证。实施老年医疗保险制廿多年来,医疗质量保证的构成与方法都有了很大变化。质量保证方法的演变与组织结构的改变密切相关,专业标准审查组织(PSRO)与专业审查组织
The U.S. government began to allocate medical expenses directly to medical units in the late 1960s. This would provide some kind of medical quality assurance for those who enjoy publicly funded medical services. In the past years, the composition and methods of medical quality assurance have undergone great changes. The evolution of quality assurance methods is closely related to the change of organizational structure. Professional Standards Review Organization (PSRO) and professional review organizations