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Humans , Adverse Drug Reaction Reporting Systems/organization & administration , Periodicals as Topic/statistics & numerical data , PharmacoepidemiologyABSTRACT
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Humans , Health Services Administration/trends , Primary Health Care/organization & administration , Intersectoral Collaboration , Health Planning Councils/trends , PoliticsABSTRACT
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Humans , Databases as Topic , Quality of Health Care , Hospital Information Systems/trends , Information Management/trends , Biomedical Research/trendsABSTRACT
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Physician-Patient Relations , Primary Health Care , Quality Assurance, Health CareABSTRACT
Se describen los proyectos de la gestión que está llevando a cabo la División de Atención Primaria del ICS, estructurados siguiendo el modelo de autoevaluación de la calidad total EFQM (European Foundation Quality Management). Se presentan la monitorización, las evaluaciones y las actuaciones realizadas en cada uno de los aspectos del modelo (agentes y resultados): políticas y estrategias, liderazgo, personas, recursos y alianzas, procesos y resultados. Las distintas actuaciones están sustentadas en evaluaciones objetivas de indicadores que se monitorizan de forma periódica. Permiten comprobar la capacidad de mejora que aportan cada una de las actuaciones. La experiencia del Grupo ICS demuestra que iniciativas de mejora continua de calidad que se desarrollaron en algunos equipos o servicios de atención primaria han facilitado un cambio cultural que ha llevado a extender las técnicas de gestión de calidad total al resto de la organización. Estas técnicas permiten modernizar y mejorar las grandes organizaciones sanitarias públicas, aumentando la orientación al cliente y la implicación de los profesionales, tanto en las decisiones estratégicas, como en las más operativas. La complejidad y la dificultad de la introducción de cambios en las organizaciones de gran tamaño, como el Grupo ICS, obliga a realizar intervenciones multidimensionales. El modelo EFQM es de gran ayuda para aportar una coherencia global a estos proyectos (AU)
Subject(s)
Humans , Primary Health Care , 34003 , Quality Indicators, Health Care/standards , Quality Assurance, Health Care , Technology Assessment, BiomedicalABSTRACT
BACKGROUND: Primary care teams are facing an increased need to develop quality programmes at local level. GPs must lead this process and promote a positive organizational culture if they want to achieve and maintain a continuous improvement of the service. OBJECTIVE: The aim of the present study was to test the applicability and reliability of the European Foundation for Quality Management (EFQM) excellence model self-assessment questionnaire in a primary health care organization. METHOD: A cross-sectional study was carried out of the EFQM questionnaire to compare the scores achieved by a primary health care team in Spain caring for 42 000 inhabitants using internal self-assessment with the scores achieved by professional management auditors through an external audit. RESULTS: The scores of each criterion achieved by self-evaluation are similar to or lower than those assessed by the external evaluation. There is agreement in the areas suitable for improvement. CONCLUSIONS: The experience proves the applicability of the EFQM excellence model for primary health care teams and its reliability, at least when the team undergoing self-assessment know they are going to be re-evaluated. There is high concordance in the identification of areas for improvement.
Subject(s)
Benchmarking , Models, Organizational , Primary Health Care/standards , Quality of Health Care , Cross-Sectional Studies , Humans , Organizational Culture , Patient Care Team/standards , Reproducibility of Results , Spain , Surveys and QuestionnairesABSTRACT
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Spain , Primary Health Care , Delivery of Health Care , Medical Audit , United KingdomABSTRACT
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