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

• Verfasst von: Götz, Katja [VerfasserIn]
• Verfasst von: Hess, Sigrid [VerfasserIn]
• Verfasst von: Jossen, Marianne [VerfasserIn]
• Verfasst von: Huber, Felix [VerfasserIn]
• Verfasst von: Rosemann, Thomas [VerfasserIn]
• Verfasst von: Brodowski, Marc [VerfasserIn]
• Verfasst von: Künzi, Beat [VerfasserIn]
• Verfasst von: Szecsenyi, Joachim [VerfasserIn]
• Titel: Does a quality management system improve quality in primary care practices in Switzerland?
• Titelzusatz: a longitudinal study
• Verf.angabe: Katja Goetz, Sigrid Hess, Marianne Jossen, Felix Huber, Thomas Rosemann, Marc Brodowski, Beat Künzi, Joachim Szecsenyi
• E-Jahr: 2015
• Jahr: April 21, 2015
• Umfang: 6 S.
• Fussnoten: Gesehen am 29.06.2020
• Titel Quelle: Enthalten in: BMJ open
• Ort Quelle: London : BMJ Publishing Group, 2011
• Jahr Quelle: 2015
• Band/Heft Quelle: 5(2015,4) Article: e007443, 6 Seiten
• ISSN Quelle: 2044-6055
• DOI: doi:10.1136/bmjopen-2014-007443
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1702863727

Abstract

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.