dc.contributor.author | Lindahl, Anne Karin | en |
dc.contributor.author | Bakke, Toril | en |
dc.date.accessioned | 2010-12-29T20:10:14Z | nb_NO |
dc.date.accessioned | 2016-02-08T14:25:49Z | |
dc.date.available | 2010-12-29T20:10:14Z | nb_NO |
dc.date.available | 2016-02-08T14:25:49Z | |
dc.date.issued | 2010-10 | nb_NO |
dc.identifier.citation | Rapport fra Kunnskapssenteret 20/2010 | en |
dc.identifier.isbn | 978-82-8121-369-2 | nb_NO |
dc.identifier.issn | 1890-1298 | nb_NO |
dc.identifier.uri | http://hdl.handle.net/11250/2378445 | |
dc.description.abstract | The Norwegian Knowledge Center for the Health Services was commissioned by The
Department of Health and the Directorate of Health, to survey and recommend
elements to be included in a national quality system for the primary health services.
These are the main recommendations from the present report:
The goals for a national quality system for the primary health care should be
documentation and visibility of quality, learning and quality improvement in a
coordinated way, in all four levels of services; the health care worker /patient
level, the health organizational level, the municipality level and the national
level.
In order to efficiently contribute to quality improvement, a partnership model
for development and implementation should be adopted, with involvement of
patients and users, and all stakeholders in the process.
Patients and users need available and understandable information about quality
of the services, and should to a larger extent than today be given the
opportunity to query information on quality and safety, and contribute in the
development of quality of the services.
The quality of the services should be measured and visualized in a way that is
useful for patients and health workers own quality improvement work.
The development of quality indicators for all services in primary health care is
an essential element of a national quality system. These should be developed
according to the principles outlined in the report: Conceptual Framework for a
National Healthcare Quality Indicator System in Norway - Recommendations
(8).
The lack of IKT programmes, equipment, coordination and functions in relation
to possible retrieval, processing, and analysing data is a major obstacle for
documentation of the quality of the services.
In order to compare measures for quality through benchmarking, structured
and goal oriented processes need to be in place in each of the services. This can
be done in relation to local challenges, or by regional or national processes.
Leaders on the national and municipality levels, and the leaders of the
individual services, should to a larger extent than today query about quality of
the services and make sure documentation of quality is in place. Annual quality
reports from the individual services and the municipalities. In addition there is
9 Key messages
a need for more focus on patient safety, and a system for registering unwanted
incidents may be established, as it is in the specialized health care services. The
focus for such a registry should be on understanding the mechanisms and
learning.
To have the right competence in place is important to ensure and develop
quality in the primary health care services. Both professional knowledge and
quality improvement knowledge is important to ensure and develop quality of
the services. Knowledge and skills in both evidence based practice and quality
improvement is should to a larger extent than today be included in the basic
education of health care workers, as well as in their postgraduate further
education.
More research is needed about quality improvement in the primary care sector.
Improvement projects should be followed by evaluation, as should the
implementation of a national quality system in the primary care services.
To give push, pull and direction in the quality documentation, visualization and
improvement work, we propose establishing a unit with particular responsibility
to develop and implement at national quality system for the primary health
services. Such a unit needs to coordinate and further develop the work already
in place today, and establish technical and process support for the locally based
quality improvement work. The main focus of the work should be learning and
quality improvement, and user involvement is understood.
Anchoring the work in the health laws would be a tremendous help in getting
increased focus and resources for an increased and coordinated effort towards
better quality. | en |
dc.description.sponsorship | Helse- og omsorgsdepartementet og Helsedirektoratet | en |
dc.language.iso | nob | en |
dc.publisher | Norwegian Knowledge Centre for the Health Services | en |
dc.relation.ispartofseries | Rapport fra Kunnskapssenteret | en |
dc.relation.ispartofseries | 20/2010 | en |
dc.relation.uri | http://www.kunnskapssenteret.no/Publikasjoner/10712.cms | en |
dc.subject | VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 | en |
dc.subject.mesh | Primary Health Care | en |
dc.subject.mesh | Quality of health care | en |
dc.subject.mesh | Health Promotion | en |
dc.subject.mesh | Health Planning | en |
dc.subject.mesh | Quality Indicators, Health Care | en |
dc.title | Vurdering av elementer som kan inngå i et nasjonalt kvalitetssystem for primærhelsetjenesten | no |
dc.title.alternative | Consideration of items to be included in a national quality system for primary health care | en |
dc.type | Peer reviewed | en |
dc.type | Research report | en |
dc.contributor.department | Norwegian Knowledge Centre for the Health Services | en |