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Quality measurement across borders: needs and options
1Joint Commission International Europe.
Summary
Patients seek cross-border healthcare for cost, access, and proximity. However, healthcare quality and data collection methods vary significantly between countries, posing challenges for policymakers and providers.
Area of Science:
- Healthcare policy
- International health systems
- Quality improvement
Background:
- Patients increasingly seek healthcare services across national borders, driven by factors like cost, access, and proximity.
- Significant variations exist in healthcare quality and regulatory approaches (e.g., licensure, accreditation) internationally.
- Current public and private quality evaluation systems are inconsistent, yielding non-comparable data.
Purpose of the Study:
- To investigate the challenges in assessing healthcare quality for international patients.
- To highlight the variability in quality data collection and regulatory frameworks across countries.
- To propose the use of international standards for evaluating cross-border healthcare quality.
Main Methods:
- Analysis of traditional regulatory approaches (licensure, accreditation, certification) in different countries.
- Review of private sector quality evaluation systems and their comparability.
- Examination of survey data (e.g., Joint Commission International) on electronic medical record adoption and adverse event reporting.
Main Results:
- Wide variations observed in the use of electronic medical records and adverse event data collection globally.
- Traditional regulatory and private quality assessment methods differ significantly, leading to non-comparable quality data.
- Existing systems struggle to provide consistent quality metrics for cross-border healthcare services.
Conclusions:
- International healthcare travel is common, but quality assessment remains a significant challenge.
- The variability in data collection and regulatory oversight hinders the evaluation of cross-border healthcare quality.
- Adoption of international standards focusing on process-outcome relationships is crucial for managing risks and ensuring quality in international healthcare.
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