H. Legido-quigley's Assuring the Quality of Health Care in the European Union: A PDF

By H. Legido-quigley

ISBN-10: 9289071931

ISBN-13: 9789289071932

Humans have continuously travelled inside of Europe for paintings and relaxation, even supposing by no means sooner than with the present depth. Now, despite the fact that, they're traveling for lots of different purposes, together with the hunt for key providers equivalent to healthiness care. regardless of the reason behind vacationing, one query they ask is “If I get ill, will the overall healthiness care I obtain be of a excessive standard?” This booklet examines, for the 1st time, the structures which have been installed position in the entire eu Union’s 27 Member States. the image it paints is blended. a few have good constructed platforms, surroundings criteria in response to the simplest on hand proof, tracking the care supplied, and taking motion the place it falls brief. Others have to conquer major hindrances.

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There is a clear need to learn from the experience of evaluations being developed in the United States and Australia at the time of writing (Emslie, Knox and Pickstone 2003). 2 Patient safety initiatives in Denmark and the United Kingdom Denmark A confidential, non-punitive, but mandatory system for reporting adverse medical events was established in 2004. Hospitals are required to report medical errors and adverse events to a national database managed by the National Board of Health. The scheme focuses on learning from experience so as to prevent recurrence of adverse events and has a protective whistle-blowing provision, so that any health care worker who reports an adverse event cannot be subjected to investigation or disciplinary action by their employer, the Board of Health or by the courts for doing so.

Outcomes describe the effects of health care on the health status of patients and populations and comprise final outcomes such as mortality, morbidity, disability or quality of life, as well as intermediate outcomes, for instance, blood pressure, body weight, personal well-being, functional ability, coping ability, improved knowledge and others. However, Donabedian also argued that before assessing quality one must decide (Donabedian 1988): • whether to adopt a maximal or optimal specification of quality; • how health and our responsibility for it is to be defined; • whether the assessment is to involve the performance of practitioners only or also to include that of patients and the health care system; and • whether the amenities and the management of the interpersonal process between patient and provider are to be included in addition to technical care.

He argued that before assessing quality of care it is necessary to define whether monetary cost should enter the definition of quality. He thus distinguished a “maximalist” specification from an “optimalist” specification of quality. The maximalist specification ignores monetary costs and defines the highest quality as the level that can be expected to achieve the greatest improvement in health. In contrast, in the optimalist specification of quality, very expensive interventions that do not achieve a great improvement in health would be avoided (Evans et al.

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Assuring the Quality of Health Care in the European Union: A Case for Action by H. Legido-quigley

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