Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process
Abstract Background The level of quality of care of ambulatory services in Switzerland is almost completely unknown. By adapting existing instruments to the Swiss national context, the present project aimed to define quality indicators (QI) for the measurement of quality of primary care for use on h...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3477-z |
| _version_ | 1818172178783272960 |
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| author | Eva Blozik Oliver Reich Roland Rapold Martin Scherer Swiss Quality Indicator for Primary Care (SQIPRICA) Working Group |
| author_facet | Eva Blozik Oliver Reich Roland Rapold Martin Scherer Swiss Quality Indicator for Primary Care (SQIPRICA) Working Group |
| author_sort | Eva Blozik |
| collection | DOAJ |
| description | Abstract Background The level of quality of care of ambulatory services in Switzerland is almost completely unknown. By adapting existing instruments to the Swiss national context, the present project aimed to define quality indicators (QI) for the measurement of quality of primary care for use on health insurance claims data. These data are pre-existing and available nationwide which provides an excellent opportunity for their use in the context of health care quality assurance. Methods Pragmatic 6-step process based on informal consensus. Potential QI consisted of recommendations extracted from internationally accepted medical practice guidelines and pre-existing QI for primary care. An independent interdisciplinary group of experts rated potential QI based on explicit criteria related to evidence, relevance for Swiss public health, and controllability in the Swiss primary care context. Feasibility of a preliminary set of QI was tested using claims data of persons with basic mandatory health insurance with insurance at one of the largest Swiss health insurers. This test built the basis for expert consensus on the final set of QI. Results Of 49 potential indicators, 23 were selected for feasibility testing based on claims data. The expert group consented a final set of 24 QI covering the domains general aspects/ efficiency (7 QI), drug safety (2), geriatric care (4), respiratory disease (2), diabetes (5) and cardiovascular disease (4). Conclusions The present project provides the first nationwide applicable explicit evidence-based criteria to measure quality of care of ambulatory primary care in Switzerland. The set intends to increase transparency related to quality and variance of care in Switzerland. |
| first_indexed | 2024-12-11T19:08:29Z |
| format | Article |
| id | doaj.art-edfd14d31e514ebc8abe23a1a00f2237 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-11T19:08:29Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-edfd14d31e514ebc8abe23a1a00f22372022-12-22T00:53:51ZengBMCBMC Health Services Research1472-69632018-09-0118111110.1186/s12913-018-3477-zEvidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus processEva Blozik0Oliver Reich1Roland Rapold2Martin Scherer3Swiss Quality Indicator for Primary Care (SQIPRICA) Working GroupDepartment of Health Sciences, Helsana GroupDepartment of Health Sciences, Helsana GroupDepartment of Health Sciences, Helsana GroupDepartment of General Practice/Primary Care, University Medical Center Hamburg-EppendorfAbstract Background The level of quality of care of ambulatory services in Switzerland is almost completely unknown. By adapting existing instruments to the Swiss national context, the present project aimed to define quality indicators (QI) for the measurement of quality of primary care for use on health insurance claims data. These data are pre-existing and available nationwide which provides an excellent opportunity for their use in the context of health care quality assurance. Methods Pragmatic 6-step process based on informal consensus. Potential QI consisted of recommendations extracted from internationally accepted medical practice guidelines and pre-existing QI for primary care. An independent interdisciplinary group of experts rated potential QI based on explicit criteria related to evidence, relevance for Swiss public health, and controllability in the Swiss primary care context. Feasibility of a preliminary set of QI was tested using claims data of persons with basic mandatory health insurance with insurance at one of the largest Swiss health insurers. This test built the basis for expert consensus on the final set of QI. Results Of 49 potential indicators, 23 were selected for feasibility testing based on claims data. The expert group consented a final set of 24 QI covering the domains general aspects/ efficiency (7 QI), drug safety (2), geriatric care (4), respiratory disease (2), diabetes (5) and cardiovascular disease (4). Conclusions The present project provides the first nationwide applicable explicit evidence-based criteria to measure quality of care of ambulatory primary care in Switzerland. The set intends to increase transparency related to quality and variance of care in Switzerland.http://link.springer.com/article/10.1186/s12913-018-3477-zQuality indicatorQuality assessmentQuality measurementClaims dataHealth insuranceEvidence-based |
| spellingShingle | Eva Blozik Oliver Reich Roland Rapold Martin Scherer Swiss Quality Indicator for Primary Care (SQIPRICA) Working Group Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process BMC Health Services Research Quality indicator Quality assessment Quality measurement Claims data Health insurance Evidence-based |
| title | Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process |
| title_full | Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process |
| title_fullStr | Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process |
| title_full_unstemmed | Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process |
| title_short | Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process |
| title_sort | evidence based indicators for the measurement of quality of primary care using health insurance claims data in switzerland results of a pragmatic consensus process |
| topic | Quality indicator Quality assessment Quality measurement Claims data Health insurance Evidence-based |
| url | http://link.springer.com/article/10.1186/s12913-018-3477-z |
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