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According to a large majority, the quality of teleradiology services could be improved by developing an obligatory quality assurance system (78%%).
The only compulsory questions are those required for the department to meet its obligatory quality assurance requirements.
When these feelings heighten around emotionally intense issues, they can exert coercive pressure on clinical decision-making with an obligatory quality that is difficult to resist.
Indeed, obligatory quality management requirements have been extended for providers, and the restructuring of the regulatory bodies aims at better coordination at federal and state levels.
This moderate performance is most likely related to the absence of an obligatory quality assurance system for the NT assessment in Belgium.
Obligatory quality assurance measures for providers, especially hospitals, within the statutory health insurance system (GKV) entered legislation in 1992 with the law on reforming the health system structure (GSG, Gesundheitsstrukturgesetz,) which came into force in January 1993.
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At that time there was no comprehensive nationwide hospital performance data available except from a dozen specific surgical interventions (where no minimum volume standard was applied) documented in the obligatory external quality assurance measure.
Thirdly, hospitals are required to document process and outcome data for the legally obligatory external quality assurance, which covered some 30 procedures in 2004 (mostly surgical interventions) and about 15% of all hospital cases [ 33].
In addition, a national quality improvement program stimulated the use of these guidelines and, partly due to its obligatory character, all hospitals aimed to follow these recommendations.
She echoed the words of Kering's chairman François-Henri Pinault that sustainability is an obligatory part of quality, which luxury brands cannot afford to compromise.
Participation has been voluntary until recently, when it became an obligatory tool for quality assessment in regional trauma networks [ 11].
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