Buchumschlag

Does a quality management system improve quality in primary care practices in Switzerland?: a longitudinal study

Objectives: To examine the effectiveness of the quality management programme—European Practice Assessment—in primary care in Switzerland. Design: Longitudinal study with three points of measurement. Setting: Primary care practices in Switzerland. Participants: In total, 45 of 91 primary care practic...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Götz, Katja (VerfasserIn) , Hess, Sigrid (VerfasserIn) , Jossen, Marianne (VerfasserIn) , Huber, Felix (VerfasserIn) , Rosemann, Thomas (VerfasserIn) , Brodowski, Marc (VerfasserIn) , Künzi, Beat (VerfasserIn) , Szecsenyi, Joachim (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: April 21, 2015
In: BMJ open
Year: 2015, Jahrgang: 5, Heft: 4
ISSN:2044-6055
DOI:10.1136/bmjopen-2014-007443
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/bmjopen-2014-007443
Verlag, lizenzpflichtig, Volltext: https://bmjopen.bmj.com/content/5/4/e007443
Volltext
Verfasserangaben:Katja Goetz, Sigrid Hess, Marianne Jossen, Felix Huber, Thomas Rosemann, Marc Brodowski, Beat Künzi, Joachim Szecsenyi
Beschreibung
Zusammenfassung:Objectives: To examine the effectiveness of the quality management programme—European Practice Assessment—in primary care in Switzerland. Design: Longitudinal study with three points of measurement. Setting: Primary care practices in Switzerland. Participants: In total, 45 of 91 primary care practices completed European Practice Assessment three times. Outcomes: The interval between each assessment was around 36 months. A variance analyses for repeated measurements were performed for all 129 quality indicators from the domains: ‘infrastructure’, ‘information’, ‘finance’, and ‘quality and safety’ to examine changes over time. Results: Significant improvements were found in three of four domains: ‘quality and safety’ (F=22.81, p<0.01), ‘information’ (F=27.901, p<0.01) and ‘finance’ (F=4.073, p<0.02). The 129 quality indicators showed a significant improvement within the three points of measurement (F=33.864, p<0.01). Conclusions: The European Practice Assessment for primary care practices thus provides a functioning quality management programme, focusing on the sustainable improvement of structural and organisational aspects to promote high quality of primary care. The implementation of a quality management system which also includes a continuous improvement process would give added value to provide good care.
Beschreibung:Gesehen am 29.06.2020
Beschreibung:Online Resource
ISSN:2044-6055
DOI:10.1136/bmjopen-2014-007443

Ähnliche Einträge