Assuring the Quality of Health Care in the European Union: A by H. Legido-quigley PDF

By H. Legido-quigley

ISBN-10: 9289071931

ISBN-13: 9789289071932

Humans have continuously travelled inside Europe for paintings and relaxation, even though by no means earlier than with the present depth. Now, even though, they're vacationing for lots of different purposes, together with the search for key prone comparable to overall healthiness care. regardless of the explanation for traveling, one query they ask is “If I get sick, will the healthiness care I obtain be of a excessive standard?” This booklet examines, for the 1st time, the structures which have been installed position in all the ecu Union’s 27 Member States. the image it paints is blended. a few have good constructed structures, atmosphere criteria according to the simplest to be had proof, tracking the care supplied, and taking motion the place it falls brief. Others have to conquer major stumbling blocks.

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The choice of dimensions to measure quality of care is critical as it will influence the health care policies adopted. Thus, (Shaw and Kalo 2002) underline the key challenge for every country to recognize these diverse but legitimate expectations and to reconcile them in a responsive and balanced health system. 1 Levels of analysis in the concept of quality Specific product or service Specific group of health services Any service, product or institution in a given health system Source: Adapted from Saturno, Gascón and Parra 1997.

Legislation stipulates that the primary responsibility for quality lies with health care providers and professionals (Dutch Department of Health 2005). An evaluation of the Health Care Quality Law carried out in 2002 showed that little progress had been made by health care institutions towards implementing a structured quality system. Following recommendations made in late 2002, the Minister of Health announced specific measures to make quality management compulsory. This 24 Assuring the quality of health care in the European Union envisaged a move from a supporting role to a more controlling position (den Exter et al.

2 Dimensions of quality of care Donabedian Maxwell Department Council of IoM (1988) (1992) of Health Europe (2001) (UK) (1997) (1998) JCAHO (2006) Effectiveness X X X X X Efficiency X X X X X Access X X X X Safety X X X Equity X X (X) X Appropriateness X X X Timeliness X X Acceptability X X Responsiveness Respect Respect Choice Patient Information centred ness Satisfaction (X) X X X X X Health improvement X X X X Continuity X Other Technical Efficacy competence Relevance Availability Prevention/ early detection Sources: Donabedian 1988; Maxwell 1992; Department of Health 1997; Council of Europe 1998; IOM 2001; JCAHO 2006.

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Assuring the Quality of Health Care in the European Union: A Case for Action by H. Legido-quigley

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