کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6239396 | 1278995 | 2015 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Developing cross-sectoral quality assurance for cataract surgery in the statutory quality assurance program of the German health care system: Experiences and lessons learned
ترجمه فارسی عنوان
ایجاد تضمین کیفیت متقابل در بخش جراحی آب مروارید در برنامه تضمین کیفیت قانونی سیستم مراقبت بهداشتی آلمان: تجارب و درس های آموخته شده
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کلمات کلیدی
کیفیت در مراقبت های بهداشتی، ارزیابی کیفی، بهبود کیفیت، داده های بیمه درمانی، سیاست بهداشتی، سیستم سلامت،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
Since 2001, statutory external quality assurance (QA) for hospital care has been in place in the German health system. In 2009, the decision was taken to expand it to cross-sectoral procedures. This novel and unprecedented form of national QA aims at (1) making the quality procedures comparable that are provided both in inpatient and outpatient care, (2) following-up outcomes of hospital care after patients' discharge and (3) measuring the quality of complex treatment chains across interfaces. As a pioneer procedure a QA procedure in cataract surgery QA was developed. Using this as an example, challenges of cross-sectoral QA are highlighted. These challenges relate, in particular, to three technical problems: triggering cases for documentation, following-up patients' after hospital discharge, and the burden of documentation in outpatient care. These problems resulted finally in the haltering of the development of the QA procedure. However, the experiences gained with this first development of cross-sectoral QA inspired the reorientation and further development of the field in Germany. Future cross-sectoral QA will rigorously aim at keeping burden of documentation small. It will draw data for QA mainly at three sources: routine data, patient surveys and peer reviews using indicators. Policy implications of this reorientation are discussed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 119, Issue 8, August 2015, Pages 1017-1022
Journal: Health Policy - Volume 119, Issue 8, August 2015, Pages 1017-1022
نویسندگان
Anke Bramesfeld, Jürgen Pauletzki, Lars Behrenz, Joachim Szecsenyi, Gerald Willms, Björn Broge,