Issues in quality assurance--the European scene

Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care
H Vuori, F Roger

Abstract

Originally written as a background document for the technical discussion on quality assurance of health services in connection with the 38th session of the WHO Regional Committee for Europe, the paper discusses issues and current trends in quality assurance primarily from the point of view of a health authority. The paper begins with an analysis of factors such as the discovery of an unexpectedly large variation in the quality of care, the increasing complexity of care, augmenting costs and changes in the medical labour market that have increased the interest of health authorities in quality assurance. The next section describes the concepts of quality and quality assurance, and highlights such current trends as broadening of the scope of quality assurance to include outcomes, patient satisfaction and services provided for by other personnel than physicians, and increasing emphasis on the outcome of care. After a discussion of methods used in quality assurance, the paper turns to measures that can be introduced, on the one hand, at the provider and patient levels and, on the other hand, at the institutional level to improve the quality of care. By posing questions to the health authorities on the concept of quality, methods of ...Continue Reading

Citations

Dec 9, 1994·International Journal of Health Care Quality Assurance·R G Hill, M C Chung
Mar 1, 1992·Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care·C Veit, A Tecklenburg
Mar 21, 2000·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·J Coyle, B Williams
May 19, 2004·Scandinavian Journal of Caring Sciences·Agneta Schröder, Gerd Ahlström

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