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Quality evaluation and indicator comparison in health care
1Nordic School of Public Health, Faculty of Medicine, Bergen University, Norway. john@nhv.se
The International Journal of Health Planning and Management
|October 13, 2001
Summary
Healthcare quality evaluation is becoming mandatory in Europe. The effectiveness of quality assessment schemes depends more on their implementation than the specific scheme chosen, requiring clinician involvement and further research.
Area of Science:
- Healthcare Management
- Quality Improvement
- Health Services Research
Background:
- European healthcare organizations face mandatory quality evaluation and data collection by 2005.
- Hospitals and clinicians must demonstrate service quality, shifting from assumed safety.
- Increasing pressure exists to assess healthcare quality, with numerous assessment, certification, accreditation, and measurement schemes available.
Purpose of the Study:
- To provide a non-specialist overview of various quality evaluation and indicator schemes.
- To explore the effectiveness and implementation of different quality assessment approaches in Nordic public hospitals.
- To identify key considerations for introducing and utilizing quality schemes in healthcare settings.
Main Methods:
- Review of different quality evaluation and indicator schemes.
- Drawing on experiences from quality specialists and leaders in Nordic countries.
- Analysis of implementation strategies for public hospital and healthcare services.
Main Results:
- The introduction and utilization of a quality scheme may be more critical than the specific scheme selected.
- Effective schemes require clinician involvement.
- A balance is needed between simplicity, low cost, scientific validity, and clinician credibility.
Conclusions:
- Implementation strategy is paramount for successful healthcare quality evaluation.
- Clinician engagement is essential for effective quality assessment.
- Further research is necessary to determine the costs and benefits of various quality schemes in healthcare.
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