Professional paper

What, when and how to measure the assessment of quality of care for chronic diseases in family practice? Applying indicators of quality for diabetes mellitus

Marija Vrca Botica ; Sveučilište u Zagrebu, Medicinski fakultet, Škola narodnoga zdravlja "Andrija Štampar", Katedra obiteljske medicine
Zlata Ožvačić Adžić ; Sveučilište u Zagrebu, Medicinski fakultet, Škola narodnoga zdravlja "Andrija Štampar", Katedra obiteljske medicine
Ines Zelić Baričević ; Ordinacija obiteljske medicine Slavonski Brod, Bukovje
Ivana Katić Milošević ; Ordinacija obiteljske medicine Sinj
Ines Diminić Lisica ; Sveučilište u Rijeci, Medicinski fakultet, Katedra obiteljske medicine
Linda Carkaxhiu ; Sveučilište u Prištini, Medicinski fakultet Priština, Katedra obiteljske medicine, Kosovo

Abstract

Health care quality research of chronic diseases in primary care according to the scientific and professional point of view is very challenging. There are not enough comprehensive and comparable data on the international level (Europe) that could be applied to improve primary health care.
In defining quality care, the patient’s perspective is a priority.
The general physician as a provider of health care service for patients with chronic diseases offers joint procedure all in one place: prevention and early detection of diseases, treatment and prevention of complications.
The complex role of the family doctor in reaching quality care should be observed according to the position of primary care in the health care system. Three dimensions of primary health care are important as a starting point in the assessment of quality care: the system of structure which offers an opportunity for the process of care, which leads to outcomes in protection.
What, when and how to measure, which measure instrument to use in assessment quality care for patients with diabetes mellitus?
The indicator is defined as a quantifiable element performed in the process of care for which there is proof or agreement that it can be taken as an indirect transient indicator for quality care. Or, it can be interpreted that its usage or not usage changes quality care. Indicators of process health care are answering the questions: who is doing, what is being done, where, when and how often. Indicators of results (outcomes) of health care are answering the question: which procedures or interventions performed in the health care process are giving which outcomes? In quality care assessment for patients with diabetes mellitus, 34 indicators performed in the process of care (divided in 5 groups) are accepted as transient indicators for quality care.

Keywords

family physicians; protection quality; diabetes mellitus; indicators

Hrčak ID:

100597

URI

https://hrcak.srce.hr/100597

Publication date:

23.4.2013.

Article data in other languages: croatian

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