EVALUATION OF HEALTH CARE QUALITY
Abstract
Background. It is possible to evaluate quality characteristics of different aspects of health care by many different measures. For these purposes, in various countries all over the world authorised institutions and/or agencies developed number of methodological accessories, criteria and tools for selection of more or less appropriately and optimally defined criteria and indicators of quality clinical performance.
Conclusions. Recently we have started with activities for gradual introduction of systematic monitoring, assessment and improvement of quality of health care in Slovenia as well. One of the key prerequisites for selection of valid, practicable, efficient and reliable quality indicators is the establishment of continuous and methodologically appropriate system of development and implementation of evidence-based clinical practice guidelines. We started this process within the framework of national Health Sector Management Project, where all potential key stakeholders from health care sector participated. Also the project on Quality in Health Care in Slovenia, started, leaded and performed by the Medical Chamber of Slovenia, represents one of the important parallel starting steps towards assurance of reliable data on development/establishment of appropriate set of quality indicators and standards of health care in our country.
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References
The Department of Health. A first class service: quality in the new NHS. London: DOH, 1998. http://www.open.gov.uk/doh/newnhs/quality.htm.
The President’s Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Quality first: Better health care for all Americans. US Government Printing Office, 1998.
Agency for Quality in Medicine (AQuMed) – Working Group Quality Indicators of the AquMed Expert Panel on Guidelines. Critical appraisal of clinical performance measures for quality management quality criteria and quality indicators in health care. Jena: Urban & Fischer, 2001: 2–15.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO). National Library of Healthcare Indicators – Health plan and network edition. Oakbrook Terrace: JCAHO, 1997.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Primer on indicator development and application. Measuring quality in health care. Oakbrook Terrace: JCAHO, 1990.
Crombie IK, Davies HTO, Abraham SCS. Audit handbook – Improving health care through clinical audit. Chichester: John Wiley, 1993.
Foundation for Accountability (FACCT). The facts about FACCT. Accountability Action 1996; 1: 5–8.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Guide to quality assurance. Chicago: JCAHO, 1988.
GMDS-Arbeitsgruppe Qualitaetssicherung in der Medizin. Informatik, Biometrie und Epidemiologie in Medizin und Biologie 1996; 4: 200–30.
SIGN 50.
Anon. Das Leitlinien-Manual von AWMF und AEZQ. Z Aerztl Fortbild Quali Sich 2001; 95: Suppl I: 1–84.
NHQR Preliminary Measure Set. Background. Rockville: Agency for Healthcare Research and Quality, 2002. http://www.ahrq.gov./qual/nhqrprelim.htm.
Gold L, Parry D, Raftery J, Stevens A, Walshe K, Wooley M. An assessment of potential indicators of clinical effectiveness. Birmingham: University of Birmingham, 1998.
Bernstein SJ, Hilborne LH. Clinical indicators: the road to quality care? Joint Commission Journal on Quality Improvement 1993; 19: 501–9.
Bullen P. Performance indicators. http://www.mapl.com.au/A1A.htm.
Agency for Health Care Policy and Research (AHCPR). Using clinical practice guidelines to evaluate quality of care. Vol. 2: Methods. Bethesda: US DHHS – AHCPR, 1995; AHCPR Pub. No. 95-0046.
Eddy DM. Performance measurement and solutions. Health Affairs 1998; 17: 7–25.
Sheldon T. Promoting health care quality: what role performance indicators? Quality Health Care 1998; 7: Suppl: S45–S50.
Collopy BT, Campbell JT, Williams JW et al. Acute health clinical indicator project. ACHS (Australian council in Health care Standards) Care Evaluation Program): Department of Human Services Victoria and Monash University Department of Epidemiology and Preventive Medicine, 1999.
http://hna.ffh.vic.gov.au/ahs/quality/clinical.htm.
Clinical Standards Board for Scotland. Csbs-Standard Coronary Heart Disease (CHD) – Secondary Prevention following Acute Myocardial Infarction – Rehabilitation. http://www.clinicalstandards.org.
Pajntar M, Leskošek B. Rezultati projekta »Kakovost v zdravstvu Slovenije«. Zdrav Vestn 2002; 71: 765–71.
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