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
Rok vydání: 2004
Předmět:
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