Community healthcare in Israel: quality indicators 2007-2009

Israel Journal of Health Policy Research

Orly Manor³  Rachel Wilf-Miron⁶  Joseph K Rosenblum¹  Eran Matz²  Arnon D Cohen⁴  Ronit Calderon³  Ora Paltiel⁵  Arie Ben-Yehuda⁵  Amir Shmueli³  Dena H Jaffe³ 

[1] Meuhedet Health Fund, 124 Ibn Gvirol St., Tel Aviv, 62038 Israel;Leumit Health Fund, 23 Sprinzak St., Tel Aviv, 64738 Israel;Braun School of Public Health and Community Medicine, Hebrew University - Hadassah, POB 12272, Jerusalem, 92210 Israel;Clalit Health Services, 101 Arlozorov St., POB 16250, Tel Aviv, 62098 Israel;Department of Internal Medicine, Hadassah - Hebrew University Medical Center, POB 12000, Jerusalem, 92210 Israel;Maccabi Healthcare Services, Tel Aviv, 68125 Israel

关键词: QICH;    quality;    National Health Insurance law;    Israel;    indicators;    Community healthcare;   

Others  :  810536
DOI  :  10.1186/2045-4015-1-3

 received in 2011-08-11, accepted in 2012-01-30,  发布年份 2012

【 摘 要 】

Background

The National Program for Quality Indicators in Community Healthcare in Israel (QICH) was developed to provide policy makers and consumers with information on the quality of community healthcare in Israel. In what follows we present the most recent results of the QICH indicator set for 2009 and an examination of changes that have occurred since 2007.

Methods

Data for 28 quality indicators were collected from all four health plans in Israel for the years 2007-2009. The QICH indicator set examined six areas of healthcare: asthma, cancer screening, cardiovascular health, child health, diabetes and immunizations for older adults.

Results

Dramatic increases in the documentation of anthropometric measures were observed over the measurement period. Documentation of BMI for adolescents and adults increased by 30 percentage points, reaching rates of 61% and 70%, respectively, in 2009. Modest increases (3%-7%) over time were observed for other primary prevention quality measures including immunizations for older adults, cancer screening, anemia screening for young children, and documentation of cardiovascular risks. Overall, rates of recommended care for chronic diseases (asthma, cardiovascular disease and diabetes) increased over time. Changes in rates of quality care for diabetes were varied over the measurement period.

Conclusions

The overall quality of community healthcare in Israel has improved over the past three years. Future research should focus on the adherence to quality indicators in population subgroups and compare the QICH data with those in other countries. In addition, one of the next steps in assessing and further improving healthcare quality in Israel is to relate these process and performance indicators to health outcomes.

【 授权许可】

   
2012 Jaffe et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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