What is ‘best practice’ in health care? State of the art and perspectives in improving the effectiveness and efficiency of the European health care systems

Perleth, Matthias; Jakubowski, Elke; Busse, Reinhard

doi:10.1016/s0168-8510(00)00138-x

Cited by 101 publications

(84 citation statements)

References 22 publications

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“…Notably, the formal definition of knowledge translation fits with that of "best practice" in health care, that has been defined as "the best way to identify, collect, evaluate, disseminate, and implement information about as well as to monitor the outcomes of health care interventions for patient population groups and defined indications or conditions. Information is required on the best available evidence on safety, efficacy, effectiveness, cost-effectiveness, appropriateness, social and ethical values and quality of the health care interventions" (32). These strong similarities confirm, from different points of view, the need for a weighted use of all valid and relevant information coupled with a careful and regular monitoring of outcomes of health care interventions (33).…”

Section: Discussionmentioning

confidence: 99%

Appropriateness of tumor marker request: a case of study

Gion¹,

Trevisiol²,

Fabricio³

2017

Ann. Transl. Med.

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Appropriateness is crucial to provide efficient and high-quality health services at affordable costs. Laboratory medicine is a sector of special interest for the investigation of inappropriateness, due to the high rate of technological innovation and its pivotal role in many diseases and clinical settings. Some subjective aspects related to either the patient or physician seem to have a major role on inappropriateness rates. Given the psychological impact of cancer on both patients and physicians, tumor markers represent a case of study for appropriateness. The assessment of inappropriateness of laboratory tests has been focused mainly on ordering patterns. Appropriateness can barely be appraised by matching the requested test with the clinical problem because clinical information on the test requisition form is usually inadequate. With this novel approach, we showed that inappropriateness is multifaceted even within the specific category of tumour markers. The model was effective in identifying both over-and underordering. Implementation of evidence based information and monitoring their impact on the clinical practice are parts of the same, multistage, process aimed at the progressive improvement of health care.

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Section: Discussionmentioning

confidence: 99%

Appropriateness of tumor marker request: a case of study

Gion¹,

Trevisiol²,

Fabricio³

2017

Ann. Transl. Med.

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“…Functional quality, or -extrinsic or perceived quality‖, concerns the way in which a service provider delivers a service to a patient and, in particular, the patient's evaluation of the service received (Navarro-Espigares & Hernandez Torres, 2011, p. 390). These quality types have been ascribed to two different subjects: the first to healthcare providers and the second to patients (Perleth, Jakubowski, & Busse, 2001). Technical quality concerns the appropriateness of a service provided and the relative skills (Choi, H. Lee, Kim, & S. Lee, 2005).…”

Section: Literature Review Service Quality and Healthcare Providers' mentioning

confidence: 99%

Quality-Oriented Climate and Service Quality Among Healthcare Providers: Evidence From a Rehabilitation Center in Italy

Romiti¹,

Sarti²,

Lorini³

et al. 2016

CBR

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The importance of quality in service provision is widely recognized in health service research. However, a limited number of studies have investigated antecedents of quality in healthcare service provision. This article tries to shed further light on this under-researched field. Specifically, the aim of this study is to verify the relationship between the quality-oriented climate and service quality as perceived by employees. The study was conducted in a private non-profit Rehabilitation Centre in Italy using a questionnaire administered to all healthcare workers. The questions focused on perceptions of quality-oriented climate (priorization of quality care, social cooperation, and exchange), four different connotations of the quality in healthcare provision (provision of high quality service, adequacy of time spent with patients, freedom in clinical decisions, and continuing relationships with patients), as well as on respondents' background. Of the 248 healthcare workers, 183 completed the questionnaire. Hierarchical regression analysis was used to study the relationship between quality-oriented climate and outcome variables (quality in healthcare provision). The results suggest that a quality-oriented climate does explain service quality in Healthcare settings: When an organization has implemented a quality-oriented climate, the service care provided by healthcare workers can determine an increase for three of the four investigated aspects of quality service provision (quality of care, freedom to make clinical decisions to meet patients' needs, and continuing relationships with patients). The paper demonstrates that the offer of quality services involves in a different way the various healthcare professionals and/or management staff. This research provides interesting findings for healthcare manager in Health Service settings regarding the management of a quality-oriented process of service provision.

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“…Antibiotics that provide better value are rewarded by means of a more favourable price/reimbursement. The requirement for economic evaluation fits within an overall trend towards evidence-based decision making in healthcare [16].…”

Section: Economic Evaluationmentioning

confidence: 99%

Cost-Effectiveness and Antimicrobial Resistance in Community-Acquired Pneumonia

Simoens

2010

TOANTIMJ

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What is ‘best practice’ in health care? State of the art and perspectives in improving the effectiveness and efficiency of the European health care systems

Cited by 101 publications

References 22 publications

Appropriateness of tumor marker request: a case of study

Appropriateness of tumor marker request: a case of study

Quality-Oriented Climate and Service Quality Among Healthcare Providers: Evidence From a Rehabilitation Center in Italy

Cost-Effectiveness and Antimicrobial Resistance in Community-Acquired Pneumonia

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