[Cross-sectoral quality assurance in ambulatory care]. / Sektorenübergreifende Qualitätssicherung in der ambulanten Versorgung.
Z Evid Fortbild Qual Gesundhwes
; 107(8): 528-33, 2013.
Article
en De
| MEDLINE
| ID: mdl-24290666
ABSTRACT
Overcoming rigid sectoral segmentation in healthcare has also become a health policy target in quality assurance. With the Act to Enhance Competition in Statutory Health Insurance (GKV-WSG) coming into effect, quality assurance measures are to be designed in a cross-sectoral fashion for in- and outpatient sectors equally. An independent institution is currently mandated to develop specific quality indicators for eleven indications. For three of these operating tests have already been commissioned by the Federal Joint Committee. This article depicts the major results of a feasibility study, including a compliance cost estimate, for the aforementioned indications of cross-sectoral quality assurance (cQA). In conclusion, a number of both practical and conceptual basic challenges are still to be resolved prior to the full implementation of cQA, such as a sufficient specification to activate documentation requirements and an inspection system capable of separating actual quality problems from documentary deficits. So far, a comprehensive cost-utility analysis of cQA has not been provided, in particular with comparison to existing QA systems. In order to optimise cost and utility of cQA an evidence-based approach is required for both the extension of cQA areas and for QA provisions.
Palabras clave
Bürokratiekosten; Dokumentation; Evidenz; Implementierung; Kosten-Nutzen; Machbarkeitsanalyse; Quality assurance; Qualitätssicherung; compliance costs; cost-utility analysis; cross-sectoral; documentation; evidence-based; feasibility study; healthcare; implementation; quality management; segmentation; sektorenübergreifend
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Garantía de la Calidad de Atención de Salud
/
Sector de Atención de Salud
/
Atención Ambulatoria
/
Programas Nacionales de Salud
Tipo de estudio:
Sysrev_observational_studies
Aspecto:
Implementation_research
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
De
Revista:
Z Evid Fortbild Qual Gesundhwes
Asunto de la revista:
MEDICINA
Año:
2013
Tipo del documento:
Article