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[COMPARISON OF QUALITY MEASUREMENT PROGRAMS IN HOSPITALS IN ISRAEL AND ENGLAND]
Hedva Cohen1, Yossi Weiss1, Amitai Elkayim2
1Ariel University.
Introduction:
Quality measurement programs exist in Israel and around the world and their role is, among other things, to monitor and proceed according to quality indicators in order to improve the quality of medical care. In Israel and England, there are programs for measuring quality in hospitals.
Objectives:
The purpose of this work is to compare the program for measuring quality in hospitals in Israel with the corresponding program in England in terms of the process of determining indicators, methods of collecting data and ways of reporting and publishing the data. This article reviews the similarities and differences between quality measurement programs in hospitals operating in the two countries and examines the performance rates of similar indicators in the two countries.
Methods:
A comprehensive literature review was conducted to learn about the quality measurement programs in hospitals in both countries, and then designated websites for programs from which more information about the programs was derived.
Results:
We found that in Israel there is an inclusive body, a quality department in the Ministry of Health, which is responsible for the process of determining the indicators in consultation with officials in the Medical Association, while in England there is also a body responsible for the program, the National Health Service (NHS), but it cooperates with other bodies who share some responsibilities. It was also found that in both countries the programs include indicators on common topics such as: acute myocardial infarction, cerebrovascular accident, fractures in the femoral neck and more and in each subject there are identical indices and different indicators. Beyond that there are also different measured issues in the two programs. We also found that in quality measurement programs in hospitals in Israel and England there are 4 identical indicators in all of which the results of hospitals in Israel are better than the results of hospitals in England, even though in England there is a reward for the indicators and in Israel there isn't such a reward. The reason for this is probably because the program in Israel sets targets for the indicators, while England does not.
Conclusions:
The two countries can learn from each other in order to improve the quality of health services that are provided.
