Quality assessment program in primary care clinics: a tool for quality improvement
Autor: | Lilach Benyamini, Eyal Zimlichman, Dror Mandel, Francis B. Mimouni, Robert Wartenfeld, Tzippora Shochat, Howard Amital, Yitshak Kreiss |
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Rok vydání: | 2004 |
Předmět: |
Research design
medicine.medical_specialty Quality management Primary Health Care Quality Assurance Health Care business.industry Quality assessment Health Policy Medical record Public Health Environmental and Occupational Health General Medicine Primary care Ambulatory Care Facilities Test (assessment) Military personnel Family medicine Health care medicine Humans Health Services Research Prospective Studies Israel Military Medicine business |
Zdroj: | International Journal for Quality in Health Care. 16:175-180 |
ISSN: | 1464-3677 1353-4505 |
DOI: | 10.1093/intqhc/mzh027 |
Popis: | Background. Assessment of quality of health care is a major ongoing project of the Israeli Defense Forces (IDF) medical corps. Objectives. (i) To describe mechanisms of quality assessment (QA) in IDF primary care clinics; (ii) to compare quality of care in different types of primary care clinics; and (iii) to test the hypothesis that implementation of the QA program results in improved quality of care. Research design. A prospective, single-blinded, uncontrolled, non-randomized study. Measures. Teams of two physicians carry out the QA process once or twice a year according to clinic size. Five areas were evaluated: (i) physician–patient interaction; (ii) medical chart evaluation; (iii) high-risk patients management; (iv) medical care provided by specialists; and (v) medical staff guidance. Clinics were classiWed in two groups: single-physician clinics (battalion troop clinics) and multi-physician clinics (home-front base clinics). General Linear Models were used for analysis. A P-value |
Databáze: | OpenAIRE |
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