Abstract:
BACKGROUND:Is the implementation of Quality Management (QM) in health care proceeding satisfactorily and can national health care policies influence the implementation process? Policymakers and researchers in a country need to know the answer to this question. Cross country comparisons can reveal whether sufficient progress is being made and how this can be stimulated. The objective of the study was to investigate agreement and disparities in the implementation of QMS between The Netherlands, Hungary and Finland with respect to the evaluation model used and the national policy strategy of the three countries. METHODS:The study has a cross sectional design, based on measurements in 2000. Empirical data about QM-activities in hospitals were gathered by a self-administered questionnaire. The questionnaires were answered by the directors of the hospitals or the quality coordinators. The analyses are based on data from 101 hospitals in the Netherlands, 116 hospitals in Hungary and 59 hospitals in Finland. Outcome measures are the developmental stage of the Quality Management System (QMS), the development within five focal areas, and distinct QM-activities which were listed in the questionnaire. RESULTS:A mean of 22 QM-activities per hospital was found in the Netherlands and Finland versus 20 QM-activities in Hungarian hospitals. Only a small number of hospitals has already implemented a QMS (4% in The Netherlands,0% in Hungary and 3% in Finland). More hospitals in the Netherlands are concentrating on quality documents, whereas Finnish hospitals are concentrating on training in QM and guidelines. Cyclic quality improvement activities have been developed in the three countries, but in most hospitals the results were not used for improvements. All three countries pay hardly any attention to patient participation. CONCLUSION:The study demonstrates that the implementation of QM-activities can be measured at national level and that differences between countries can be assessed. The hypothesis that governmental legislation or financial reimbursement can stimulate the implementation of QM-activities, more than voluntary recommendations, could not be confirmed. However, the results show that specific obligations can stimulate the implementation of QM-activities more than general, framework legislation.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Wagner C,Gulácsi L,Takacs E,Outinen Mdoi
10.1186/1472-6963-6-50subject
Has Abstractpub_date
2006-04-11 00:00:00pages
50issn
1472-6963pii
1472-6963-6-50journal_volume
6pub_type
杂志文章abstract:BACKGROUND:Communication between involved parties is essential to ensure coordinated and safe health care delivery. However, existing literature reveals that the information relayed in the referral process is seen as insufficient by the receivers. It is unknown how this insufficiency affects the quality of care, and va...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-016-1941-1
更新日期:2017-01-03 00:00:00
abstract:BACKGROUND:The "practice makes perfect" concept considers the more frequent a hospital performs a procedure, the better the outcome of the procedure. We aimed to study this concept by investigating whether patient outcomes improve in hospitals with a significantly increased volume of high-risk surgery over time and whe...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05126-4
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:For Indigenous Australians, health transcends the absence of disease, and includes the health and wellbeing of their community and Country: their whole physical, cultural and spiritual environment. Stronger relationships with Country and greater involvement in cultural practices enhance the wellbeing of Indi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3764-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:The Europe Against Cancer programme was initiated in the late 1980s, recognising, among other risk factors, the problematic relationship between tobacco use and cancer. In an attempt to reduce the number of smokers in the European Community, the European Commission proposed a ban on tobacco advertising. The ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-77
更新日期:2008-04-08 00:00:00
abstract:BACKGROUND:Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more chronic conditions. We report on a Delphi investigation among participants in the European Innovation...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4082-5
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:P.Re.Val.E. is the most comprehensive comparative evaluation program of healthcare outcomes in Lazio, an Italian region, and the first Italian study to make health provider performance data available to the public. The aim of this study is to describe the P.Re.Val.E. and the impact of releasing performance d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-25
更新日期:2012-01-27 00:00:00
abstract:BACKGROUND:Emergency Department (ED) are challenged by the increasing number of visits made by the heterogeneous population of elderly persons. This study aims to 1) compare chief complaints (triage categories) and level of priority; 2) to investigate their association with hospitalization after an ED visit; 3) to expl...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3257-9
更新日期:2018-06-15 00:00:00
abstract:BACKGROUND:The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. METHODS:This study concerns a cluster randomized controlled cli...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-8-143
更新日期:2008-07-07 00:00:00
abstract:BACKGROUND:Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1272-2
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Frequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals. METHODS:A retrospective revi...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-019-4844-0
更新日期:2019-12-23 00:00:00
abstract:BACKGROUND:Delay in cancer diagnosis may be important for cancer prognosis. Large individual variations in the duration of delay have been observed. This study examines whether patients' socioeconomic characteristics are predictors of long patient-, doctor- and system-related delay in cancer diagnosis. METHODS:Danish ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-49
更新日期:2008-02-28 00:00:00
abstract:BACKGROUND:E-mental health is a promising medium to keep mental health affordable and accessible. For consumers with severe mental illness the evidence of the effectiveness of e-health is limited. A number of difficulties and barriers have to be addressed concerning e-health for consumers with severe mental illness. On...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1267-z
更新日期:2016-01-19 00:00:00
abstract:BACKGROUND:People with spinal cord injury (SCI) suffer from complex secondary health conditions and rely on specialized health care services, which are often centralized and difficult to reach for individuals living in remote areas. As a consequence, they might move to regions where they expect better access to care. T...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3449-3
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:Safety management systems have been set up in healthcare institutions to reduce the number of adverse events. Safety management systems use a combination of activities, such as identifying and assessing safety risks in the organizational processes through retrospective and prospective risk assessments. A com...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-103
更新日期:2014-03-03 00:00:00
abstract:BACKGROUND:Delivery of community-based prevention services for HIV, malaria, and diarrhea is a major priority and challenge in rural Africa. Integrated delivery campaigns may offer a mechanism to achieve high coverage and efficiency. METHODS:We quantified the resources and costs to implement a large-scale integrated p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-346
更新日期:2011-12-21 00:00:00
abstract:BACKGROUND:Most health care services are provided in the primary health care sector, and an increasing number of elderly is in need of these services. Nonetheless, the research on patient safety culture in home care services and nursing homes remains scarce. This study describes staff perceptions of patient safety cult...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-019-4456-8
更新日期:2019-08-29 00:00:00
abstract:BACKGROUND:Long waiting times result in low satisfaction. Although several methods are used to shorten the actual waiting time (AWT) in large hospitals of China, the outpatients still have a long actual waiting time. This study aimed to explore whether satisfaction could be improved by extending the expected waiting ti...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4408-3
更新日期:2019-08-13 00:00:00
abstract:BACKGROUND:Family-friendly spaces for children and families to visit inpatient mental health units are recommended in international mental health guidelines as one way to provide service delivery that is responsive to the needs of parent-consumers and families. There is a lack of evidence on the implementation of famil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0914-0
更新日期:2015-06-19 00:00:00
abstract:BACKGROUND:India has been at the forefront of innovations around social accountability mechanisms in improving the delivery of public services, including health and nutrition. Yet little is known about how such initiatives are faring now that they are incorporated formally into government programmes and implemented at ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3600-1
更新日期:2018-10-19 00:00:00
abstract:BACKGROUND:We analyzed and compared primary health care (PHC) policies in British Columbia, Alberta and Saskatchewan to understand how they inform the design and implementation of team-based primary health care service delivery. The goal was to develop policy imperatives that can advance team-based PHC in Canada. METH...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2439-1
更新日期:2017-07-17 00:00:00
abstract:BACKGROUND:The increasing diversity of population in European Countries poses new challenges to national health systems. There is a lack of data on accessibility and use of health care services by migrants, appropriateness of the care provided, client satisfaction and problems experienced when confronting the health ca...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-207
更新日期:2008-10-07 00:00:00
abstract:BACKGROUND:In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental health settings. The National Programme for Information Technology (NPfIT) in England was the most expensive IT-based transformation of public s...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-484
更新日期:2012-12-31 00:00:00
abstract:BACKGROUND:Nursing and midwifery research activity is an important indicator of the quality of healthcare services and the status of nursing profession. The main aim of this study was to assess the research activity in nursing and midwifery field in Arab countries. METHOD:The current study implemented bibliometric met...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-019-4178-y
更新日期:2019-05-28 00:00:00
abstract:BACKGROUND:The healthcare systems in the western world have in recent years faced major challenges caused by demographic changes and altered patterns of diseases as well as political decisions influencing the organisation of healthcare provisions. General practitioners are encouraged to delegate more clinical tasks to ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4270-3
更新日期:2019-07-08 00:00:00
abstract:BACKGROUND:Along with economic growth and living standard improvement, hypertension has become one of the most prevalent chronic diseases in China. Self-reported measures and tested measures of hypertension may differ significantly due to the low awareness of prevalence. The objective of this study is to figure out whe...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4289-5
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1080-0
更新日期:2015-09-23 00:00:00
abstract:BACKGROUND:Guidelines recommend shared decision making (SDM) for determining whether to use statins to prevent cardiovascular events in at-risk patients. We sought to develop a toolkit to facilitate the cross-organizational spread and scale of a SDM intervention called the Statin Choice Conversation Aid (SCCA) by (i) a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4055-8
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics. METHODS:We analyzed longitudinal data (2014-2016) for 19,109 ambulatory clinics that participated in all 3 years of the...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05679-4
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:A large mental health treatment gap exists among conflict-affected populations, and Syrian refugees specifically. Promising brief psychological interventions for conflict-affected populations exist such as the World Health Organization's Problem Management Plus (PM+) and the Early Adolescent Skills for Emoti...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05677-6
更新日期:2020-08-26 00:00:00
abstract:BACKGROUND:The Health Literacy Questionnaire (HLQ) has nine scales that each measure an aspect of the multidimensional construct of health literacy. All scales have good psychometric properties. However, it is the interpretations of data within contexts that must be proven valid, not just the psychometric properties of...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2254-8
更新日期:2017-04-27 00:00:00