Assessment of Healthcare Providers’ Performance Considering Three Healthcare Quality Indicators: A Review Article

lranian journal of Clinical Infectious Diseases

Hassan Almaspoor Khangah¹  Ali Jannati¹  Ali Imani¹ 

[1] Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Health Management and Medical Informatics, Tabriz University of Medical Science, Tabriz, IR Iran

关键词: Healthcare Providers;    Healthcare Quality;    Indicators;    Review;   

DOI  :  10.17795/semj37522

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Context:Inmanyhealthcaresystems,thequalityofthehealthcaredeliveredismonitoredusinganumberof“indicators.”Inthepresentreview,weinvestigatestudiesthataddressissueswiththecaredeliveredbyhealthcareproviders.Todothis,weemployindicatorsofthequalityofthosehealthcareservices.EvidenceAcquisition:Thestudiesforthereviewwereidentifiedbysearchinganumberofelectronicdatabases,includingCochraneLibrary,PubMed,Scopus,Ovid(Medline),theSocialSciencesCitationIndex,SID(ScientificInformationDatabase,orPersiandatabase),andIranMedex(Persiandatabase).Of8,850studiespublishedbetweenJanuary1971andMay2015,53metthestudycriteriaandwerereviewed.Inthisstudy,thefollowingkeywordsweresearched,bothaloneandincombination:health,healthcare,healthcare,provider*,effectiveness,quality,clinicaloutcome,patientsatisfaction,andqualityoflife.Wealsoconsideredhealthcarequalityindicatorssuchas“clinicaloutcome,”“patientsatisfaction,”and“qualityoflife”forourassessmentofthequalityofhealthcareproviders.Results:Ofthe53papersselected,18assessedthequalityofcareprovidedforcardiovasculardisorders,12studiedcancerconditions,eightdealtwithmetabolicdisordersanddiabetes,sixfocusedonacuteinfection,threeassessedorthopedicsandtraumaconditions,twostudiedpediatricconditions,twoassessedobstetricsandgynecologyconditions,onedealtwithasthmaandallergicdiseaseconditions,andoneassessedgeriatricconditions.Inourassessmentofimprovementsinhealthcareproviders’performancebasedonhealthcarequalityindicators,improvementsinclinicaloutcomesrangedfrom26.6%forcancerconditionsto98.8%forpediatricandgynecologicalconditions.Anacceptablelevelofpatientsatisfactionwasachievedintherangeof30.2%forcancerconditionsto96.0%forpediatricconditions,whileimprovementstoqualityofliferangedfrom12.5%forcancerconditionsto88.7%foracuteinfection.Conclusions:Takingaccountofthreeindicatorsforassessingthequalityofhealthcareproviders(clinicaloutcome,patientsatisfaction,andqualityoflife),thehighestimprovementlevelsamongproviderswereobservedforpediatricandgynecologicalconditions,andthelowestimprovementlevelswerefoundforcancerconditions.

【 授权许可】

Unknown