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[Cross-sectoral quality assurance in ambulatory care].
Z Evid Fortbild Qual Gesundhwes. 2013; 107(8):528-33.ZE

Abstract

Overcoming rigid sectoral segmentation in healthcare has also become a health policy target in quality assurance. With the Act to Enhance Competition in Statutory Health Insurance (GKV-WSG) coming into effect, quality assurance measures are to be designed in a cross-sectoral fashion for in- and outpatient sectors equally. An independent institution is currently mandated to develop specific quality indicators for eleven indications. For three of these operating tests have already been commissioned by the Federal Joint Committee. This article depicts the major results of a feasibility study, including a compliance cost estimate, for the aforementioned indications of cross-sectoral quality assurance (cQA). In conclusion, a number of both practical and conceptual basic challenges are still to be resolved prior to the full implementation of cQA, such as a sufficient specification to activate documentation requirements and an inspection system capable of separating actual quality problems from documentary deficits. So far, a comprehensive cost-utility analysis of cQA has not been provided, in particular with comparison to existing QA systems. In order to optimise cost and utility of cQA an evidence-based approach is required for both the extension of cQA areas and for QA provisions.

Authors+Show Affiliations

IGES Institut GmbH, Berlin. Electronic address: Martin.Albrecht@iges.de.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

24290666

Citation

Albrecht, Martin, et al. "[Cross-sectoral Quality Assurance in Ambulatory Care]." Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen, vol. 107, no. 8, 2013, pp. 528-33.
Albrecht M, Loos S, Otten M. [Cross-sectoral quality assurance in ambulatory care]. Z Evid Fortbild Qual Gesundhwes. 2013;107(8):528-33.
Albrecht, M., Loos, S., & Otten, M. (2013). [Cross-sectoral quality assurance in ambulatory care]. Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen, 107(8), 528-33. https://doi.org/10.1016/j.zefq.2013.10.016
Albrecht M, Loos S, Otten M. [Cross-sectoral Quality Assurance in Ambulatory Care]. Z Evid Fortbild Qual Gesundhwes. 2013;107(8):528-33. PubMed PMID: 24290666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Cross-sectoral quality assurance in ambulatory care]. AU - Albrecht,Martin, AU - Loos,Stefan, AU - Otten,Marcus, Y1 - 2013/11/01/ PY - 2013/06/17/received PY - 2013/10/02/revised PY - 2013/10/02/accepted PY - 2013/12/3/entrez PY - 2013/12/3/pubmed PY - 2014/9/11/medline KW - Bürokratiekosten KW - Dokumentation KW - Evidenz KW - Implementierung KW - Kosten-Nutzen KW - Machbarkeitsanalyse KW - Quality assurance KW - Qualitätssicherung KW - compliance costs KW - cost-utility analysis KW - cross-sectoral KW - documentation KW - evidence-based KW - feasibility study KW - healthcare KW - implementation KW - quality management KW - segmentation KW - sektorenübergreifend SP - 528 EP - 33 JF - Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen JO - Z Evid Fortbild Qual Gesundhwes VL - 107 IS - 8 N2 - Overcoming rigid sectoral segmentation in healthcare has also become a health policy target in quality assurance. With the Act to Enhance Competition in Statutory Health Insurance (GKV-WSG) coming into effect, quality assurance measures are to be designed in a cross-sectoral fashion for in- and outpatient sectors equally. An independent institution is currently mandated to develop specific quality indicators for eleven indications. For three of these operating tests have already been commissioned by the Federal Joint Committee. This article depicts the major results of a feasibility study, including a compliance cost estimate, for the aforementioned indications of cross-sectoral quality assurance (cQA). In conclusion, a number of both practical and conceptual basic challenges are still to be resolved prior to the full implementation of cQA, such as a sufficient specification to activate documentation requirements and an inspection system capable of separating actual quality problems from documentary deficits. So far, a comprehensive cost-utility analysis of cQA has not been provided, in particular with comparison to existing QA systems. In order to optimise cost and utility of cQA an evidence-based approach is required for both the extension of cQA areas and for QA provisions. SN - 2212-0289 UR - https://www.unboundmedicine.com/medline/citation/24290666/[Cross_sectoral_quality_assurance_in_ambulatory_care]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1865-9217(13)00234-1 DB - PRIME DP - Unbound Medicine ER -