Mandatory national quality improvement systems using indicators: An initial assessment in Europe and Israel

Highlights • Since the turn of the century more and more health systems in Europe and related countries implement mandatory national quality improvement systems that operate by indicators. • All of these systems use at some point routine claims data for quality measurement. They differ in the way th...

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Bibliographic Details
Published in:Health policy (Amsterdam) 2016-11, Vol.120 (11), p.1256-1269
Main Authors: Bramesfeld, Anke, Wensing, Michel, Bartels, Paul, Bobzin, Henning, Grenier, Catherine, Heugren, Mona, Hirschfield, Dena Jaffe, Langenegger, Manfred, Lindelius, Birgitta, Lucet, Bruno, Manor, Orly, Schneider, Theres, Wardell, Fiona, Szecsenyi, Joachim
Format: Article
Language:English
Subjects:
Accountability
Data analysis
Data Collection
Delivery of Health Care
Europe
Evaluation
Experiments
Feedback
Health administration
Health care
Health care systems
Health services
Health Services Research
Humans
Implementation
Internal Medicine
Internet
Israel
Patient-centered care
Patients
Pay for performance
Performance related pay
Qualitative research
Quality assurance
Quality Assurance, Health Care
Quality Improvement
Quality indicators
Quality Indicators, Health Care - standards
Quality management
Quality of care
Quality of health care
Questionnaires
Respondents
Surveys and Questionnaires
Total quality
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Summary:Highlights • Since the turn of the century more and more health systems in Europe and related countries implement mandatory national quality improvement systems that operate by indicators. • All of these systems use at some point routine claims data for quality measurement. They differ in the way that they hold service provider accountable. • All systems strive for further development, stretching out to more healthcare sectors, broadening assessment methodologies such as including patient survey or peer assessments. • Countries aiming to implement a national quality assurance system shell start in sector where routine data is available, build in data feedback mechanisms and patient centredness. • A cross-country exchange on technical issues of implementing national quality improvement systems enables systems to learn from each others, find a common language and strive for a common understanding of quality of care assessment in Europe and related countries.
ISSN:0168-8510
1872-6054
DOI:10.1016/j.healthpol.2016.09.019