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Quality programmes, accreditation and certification in Switzerland.

J Schilling1, R Cranovsky, R Straub

  • 1Institute of Social and Preventive Medicine, University of Zurich, Switzerland. juli@ifspm.unizh.ch

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|June 30, 2001
PubMed
Summary

Switzerland

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Area of Science:

  • Healthcare Quality Management
  • Medical Accreditation and Certification
  • Health Services Research

Background:

  • Healthcare providers and insurers in Switzerland are legally mandated to establish quality of care contracts.
  • Specific content and format of these quality contracts are not explicitly defined by law, requiring partner-driven solutions.
  • Six distinct quality initiative approaches were examined.

Purpose of the Study:

  • To review and report on current quality initiatives in Swiss healthcare.
  • To analyze these initiatives within the framework of accreditation and certification processes.
  • To identify challenges and areas for improvement in healthcare quality assurance.

Main Methods:

  • A review of information from the Swiss Accreditation Service, the Swiss Medical Association, and the University of Zurich.
  • Analysis of six different quality initiative models.
  • Discussion of the legal framework mandating quality contracts in Switzerland.

Main Results:

  • Only one standardized accreditation and certification system, adapted from International Standards Organization (ISO) standards, is established but underutilized in the public sector.
  • Five other approaches are more common but do not yet offer comprehensive external peer review including medical outcomes.
  • Significant harmonization and definition of branch-specific requirements are needed.

Conclusions:

  • Substantial harmonization efforts are required to standardize quality initiatives in Swiss healthcare.
  • Clear, branch-specific requirements for quality contracts must be established.
  • The practicability and validity of external peer review systems need further evaluation and enhancement to meet future healthcare goals.

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