Qualitätsindikatoren für Primary-Health-Care-Einrichtungen in Österreich

Abstract

The strengthening of primary health care is one major goal of the current national health reform in Austria. In this context, a new interdisciplinary concept was developed in 2014 that defines structures and requirements for future primary health care facilities. The aim of this project was the development of quality indicators for the evaluation of the scheduled primary health care facilities in Austria, which are in accordance with the new Austrian concept. We used the RAND/NPCRDC method for the development and selection of the quality indicators. We conducted systematic literature searches for existing measures in international databases for quality indicators as well as in bibliographic databases. All retrieved measures were evaluated and rated by an expert panel in a 2-step process regarding relevance and feasibility. Overall, the literature searches yielded 281 potentially relevant quality indicators, which were summarized to 65 different quality measures for primary health care. Out of these, the panel rated and accepted 30 measures as relevant and feasible for use in Austria. Five of these indicators were structure measures, 14 were process measures and the remaining 11 were outcome measures. Based on the Austrian primary health care concept, the final set of quality indicators was grouped in the 5 following domains: Access to primary health care (5), quality of care (15), continuity of care (5), coordination of care (4), and safety (1). This set of quality measures largely covers the four defined functions of primary health care. It enables standardized evaluation of primary health care facilities in Austria regarding the implementation of the Austrian primary health care concept as well as improvement in healthcare of the population.

Development of a performance measurement system for general practitioners’ office in China’s primary healthcare

“…First, the method for index pool construction is reasonable. Instead of constructing the index pool based only on the existing index database [ 11 ], this research constructs the index pool based on both the literature research and the analysis of 1651 quantitative data, which makes the measurement system more manoeuvrable and reliable. Second, our indices are comprehensive and reasonable which cover not only the evaluation of service quality for related diseases but also the evaluation of various basic public health service items stipulated by related authorities in China.…”

“…Countries such as Austria and Poland have optimized the performance of family doctors, the process of collaborative service and other aspects. Standardized assessments are made in the workplace where family doctors provide health services in terms of basic medical services, quality of care, continuity of care, coordination and safety [11][12][13]. A study from Switzerland showed that after optimizing the interior complements of the primary care office, the level of medical and health services and patient satisfaction improved [14].…”

Wandel im Gesundheitswesen: Analyse der Auswirkungen auf Ärzte und Patienten am Beispiel der Ukraine

“…Gegebenenfalls können Mängel bei der Zusammenarbeit mit anderen Ärzten und Mitarbeitern der Klinik entstehen. In diesem Zusammenhang weisen Semlitsch et al [18] darauf hin, dass die Kooperation unter Ärzten (gemessen u. a. anhand von "Überweisungsqualität" und "Kommunikation innerhalb eines Behandlungsteams") ein wichtiger Qualitätsindikator bei der primären Patientenbehandlung ist. Jedoch tendieren Ärzte, die unter Burnout leiden, zu negativem, zynischem Verhalten [20], was bis zum Verschreiben suboptimaler Therapien führen kann [21].…”