Medical practice variation: public reporting a first necessary step to spark change

Autor: Catherine Gerard, David C. Goodman, Stef Groenewoud, Femke Atsma, Phil DaSilva, John E. Wennberg, Gert P. Westert
Rok vydání: 2017
Předmět:
Value (ethics)
Quality management
Perspectives on Quality
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
hospital care < setting of care
0302 clinical medicine
Public reporting
Health care
Humans
030212 general & internal medicine
Practice Patterns
Physicians'
computer.programming_language
Netherlands
Quality Indicators
Health Care
Geography
business.industry
practice variations < appropriate healthcare
Health Policy
Public Health
Environmental and Occupational Health
Medical practice
General Medicine
Quality Improvement
Analgesics
Opioid
Variation (linguistics)
Outcome and Process Assessment
Health Care
Risk analysis (engineering)
SPARK (programming language)
Work (electrical)
quality improvement < quality management
business
computer
030217 neurology & neurosurgery
Intervertebral Disc Displacement
New Zealand
Zdroj: International Journal for Quality in Health Care
International Journal for Quality in Health Care, 30, 9, pp. 731-735
International Journal for Quality in Health Care, 30, 731-735
ISSN: 1464-3677
1353-4505
Popis: Contains fulltext : 200700.pdf (Publisher’s version ) (Open Access) From previous work, we know that medical practice varies widely, and that unwarranted variation signals low value for patients and society. We also know that public reporting helps to create awareness of the need for quality improvement. Despite the availability of rich data, most Western countries have no routine surveillance of the geographic distribution of utilization, costs, and outcomes of healthcare, including trends in variation over time. This paper highlights the role of transparent public reporting as a necessary first step to spark change and reduce unwarranted variation. Two recent examples of public reporting are presented to illustrate possible ways to reduce unwarranted variation and improve care. We conclude by introducing the Value Improvement Cycle, which underscores that reporting is only a necessary first step, and suggests a path toward developing a multi-stakeholder approach to change.
Databáze: OpenAIRE
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