Quality Management in Medical Specialties : The Use of Channels and Dikes in Improving Health Care in The Netherlands.
In 1989 a Dutch national policy was instituted to ensure that quality management is the responsibility of both health care professionals and management, with input from insurers and patients, In turn, quality management of medical specialists remained to a large extent self-regulatory, with account-ability toward third-party payers and patients.
Three programs for quality management-peer review, guide-lines and visitation-have sufficiently persuaded patient organizations and care insurers about medical specialists'ability to ensure the quality of the care they provide.
Peer review : Operational since 1976, the national program for peer review in hospitals has stressed the need for explicit evaluative mechanisms.
This program led to the foundation of the National Organization for Quality Assurance in Hospitals (CBO), which conducts peer review activities but also support efforts aimed at quality assurance in hospitals.
Once it is linked with the other two quality management programs, peer review will realize its full potential as a profession-based method for standardizing and rationalizing medical specialty practice.
Practice guidelines : Since 1982, more than 60 consensus guidelines have been developed for and by medical professionals, with input from patient organizations and third-party payers.
Medical specialty associations have also created their own guidelines. (...)
Mots-clés Pascal : Pays bas, Europe, Monde, Soin, Recommandation, Droit, Formation permanente, Formation, Accréditation, Evaluation, Méthodologie, Autoévaluation, Pédagogie, Conférence consensus, Médecine, Recherche scientifique, Médecin, Pratique professionnelle, Politique sanitaire, Europe Ouest, Aspect politique, Géographie, Qualité, Connaissance
Mots-clés Pascal anglais : Netherlands, Europe, World, Care, Recommendation, Right, Continuing education, Formation, Accreditation, Evaluation, Methodology, Self evaluation, Pedagogy, Consensus conference, Medicine, Scientific research, Physician, Professional practice, Health policy, Western Europe, Political aspect, Geography, Quality, Knowledge
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 11/09/1998.