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[Quality assurance in Europe]

H Vuori1

  • 1Oficina Regional para Europa, Organización Mundial de la Salud.

Salud Publica De Mexico
|May 1, 1993
PubMed
Summary

European quality assurance evolved through three phases, from initial interest in the 1970s to widespread adoption by 1989. This progress was driven by rising healthcare costs and a focus on patient safety and efficiency.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Public Health Policy

Context:

  • European quality assurance development spans from the early 1970s to the present.
  • Initial efforts in the 1970s faced challenges from clinicians, politicians, and managers.
  • The 1980s saw increased momentum due to rising healthcare costs and revealed performance variations.

Purpose:

  • To outline the historical development of quality assurance in European healthcare.
  • To identify key factors influencing the adoption and implementation of quality assurance programs.
  • To highlight the shift towards recognizing patients' rights to quality care.

Summary:

  • The early 1970s marked initial European interest in quality assurance, influenced by US trends, but lacked significant traction.
  • By the 1980s, rising healthcare costs and documented performance variations spurred greater awareness and professional engagement.
  • Since 1989, formal political and professional commitment has led to routine quality assurance programs, driven by ethics, safety, efficiency, system, and economic factors.

Impact:

  • Formal political will and professional commitment have established quality assurance as a routine aspect of healthcare institutions.
  • The patient's right to quality care is now widely recognized across Europe.
  • European Community research programs prioritize quality of care, indicating its strategic importance.

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