scholarly journals A háziorvosok teljesítményének minőségi értékelése. Mi a probléma a háziorvosi indikátorokkal?

2016 ◽  
Vol 157 (9) ◽  
pp. 328-335 ◽  
Author(s):  
László Róbert Kolozsvári ◽  
Imre Rurik
Keyword(s):  
Primary Care ◽  
Family Physicians ◽  
Indicator System ◽  
Care Quality ◽  
Proper Solution ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Quality ◽  
Quality Of Primary Care

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary. Orv. Hetil., 2016, 157(9), 328–335.

scholarly journals Client perceptions of the quality of primary care services in Afghanistan

2008 ◽  
Vol 20 (6) ◽  
pp. 384-391 ◽  
Author(s):  
P. M. Hansen ◽  
D. H. Peters ◽  
K. Viswanathan ◽  
K. D. Rao ◽  
A. Mashkoor ◽  
...  
Keyword(s):  
Primary Care ◽  
Client Perceptions ◽  
Care Services ◽  
Primary Care Services ◽  
Quality Of Primary Care

Improving the quality of primary care services in Angola

1992 ◽  
Vol 7 (3) ◽  
pp. 290-295 ◽  
Author(s):  
MARTIN BJÖRCK ◽  
ROLF JOHANSSON ◽  
NAJMI KANJI
Keyword(s):  
Primary Care ◽  
Care Services ◽  
Primary Care Services ◽  
Quality Of Primary Care

Integration of occupational therapists into family medicine groups: Physicians’ perspectives

2019 ◽  
Vol 83 (7) ◽  
pp. 458-468
Author(s):  
Valérie Locas ◽  
Cassandra Préfontaine ◽  
Nathalie Veillette ◽  
Brigitte Vachon
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Occupational Therapists ◽  
Early Screening ◽  
Care Services ◽  
Primary Care Services ◽  
Age Related ◽  
Quality Of Primary Care ◽  
Timely Access

Introduction Occupational therapists remain poorly integrated into family medicine groups in Canada. Physicians are key partners because they can advocate for resources and formulate recommendations to improve the quality of services delivered in their clinics. It is important to explore their perception of the occupational therapist’s role in family medicine groups and the factors influencing their integration. Method A descriptive qualitative study was conducted. Six family physicians participated in an individual interview. Results were analysed using thematic analysis. Results Physicians consider that occupational therapists can meet the needs of diverse primary care clients. Benefits of this integration include improved clients’ functional status, early screening for developmental and age-related problems, and timely access to required care. The main barriers to integration are lack of funding, space and knowledge of the occupational therapist’s role. The strategies identified to facilitate integration are promoting and clarifying the role of occupational therapists in family medicine groups and developing effective integration models. Conclusion According to physicians, the inclusion of occupational therapists in family medicine groups could help primary care teams address many of their clients’ needs and improve the overall quality of primary care services. Targeted strategies are needed to promote the integration of occupational therapists into this practice context.

scholarly journals The influence of primary care quality on nursing home admissions in a multimorbid population with and without dementia in Germany: A retrospective cohort study using health insurance claims data

2021 ◽  
Author(s):  
Kathrin Seibert ◽  
Susanne Stiefler ◽  
Dominik Domhoff ◽  
Karin Wolf-Ostermann ◽  
Dirk Peschke
Keyword(s):  
Primary Care ◽  
Retrospective Cohort ◽  
Claims Data ◽  
Care Quality ◽  
Primary Care Quality ◽  
Quality Of Primary Care ◽  
Insurance Claims Data ◽  
Health Insurance Claims Data ◽  
Health Insurance Claims

Abstract Background Multimorbidity poses a challenge for high quality primary care provision for nursing care-dependent people with (PWD) and without (PWOD) dementia. Evidence on the association of primary care quality of multimorbid PWD and PWOD with the event of a nursing home admission (NHA) is missing. This study aimed to investigate the contribution of individual quality of primary care for chronic diseases in multimorbid care-dependent PWD and PWOD on the duration of ongoing residence at home before the occurrence of NHA. Methods We conducted a retrospective cohort study among elderly care-dependent PWD and PWOD in Germany for six combinations of chronic diseases using statutory health insurance claims data (2007–2016). Primary care quality was measured by 21 process and outcome indicators for hypertension, diabetes, depression, chronic obstructive pulmonary disease and heart failure. The primary outcome was time to NHA after initial onset of care-dependency. Multivariate Cox proportional hazard models were used to compare the time-to-event between PWD and PWOD. Results Among 5876 PWD and 12,837 PWOD 5130 NHA occurred. With the highest proportion of NHA for PWD with hypertension and depression and for PWOD with hypertension, diabetes and depression. Average duration until NHA ranged from 6.5 to 8.9 quarters for PWD and from 8.1 to 13.5 quarters for PWOD. Adjusted analyses show consistent associations of the quality of diabetes care with the duration of remaining in one's own home regardless of the presence of dementia. Process indicators assessing guideline-fidelity are associated with remaining in one's home longer, while indicators assessing complications, such as emergency inpatient treatment (HR = 2.67, 95% CI 1.99–3.60 PWD; HR = 2.81, 95% CI 2.28–3.47 PWOD) or lower-limb amputation (HR = 3.10, 95% CI 1.78–5.55 PWD; HR = 2.81, 95% CI 1.94–4.08 PWOD) in PWD and PWOD with hypertension and diabetes, increase the risk of NHA. Conclusions The quality of primary care provided to care-dependent multimorbid PWD and POWD, influences the time individuals spend living in their own homes after onset of care-dependency before a NHA. Health care professionals should consider possibilities and barriers of guideline-based, coordinated care for multimorbid care-dependent people. Further research on quality indicator sets that acknowledge the complexity of care for multimorbid elderly populations is needed.

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