1 / 17

Public reporting in Dutch healthcare; macro perspective

Public reporting in Dutch healthcare; macro perspective. prof. dr. GP Westert Health services research. The times they are a changing…. Professional autonomy > accountability “Variation in practice is still rampant” Only 50% of provided care is evidence based (US)

asha
Download Presentation

Public reporting in Dutch healthcare; macro perspective

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Public reporting in Dutch healthcare; macro perspective prof. dr. GP Westert Health services research

  2. The times they are a changing… • Professional autonomy > accountability • “Variation in practice is still rampant” • Only 50% of provided care is evidence based (US) Conclusion: monitor quality!

  3. Trust is replaced by “trust, but verify” • System change: “bring in the market” • Patients at the wheel > foot voting • Insurer > find optimal products for insured clients

  4. Minister Klink at Tilburg University (24 april 2008) • Safe and effective care; nr. 1 • Empowerment patients • Transparant information

  5. Public reports MAY 21st RELEASE

  6. Zorgbalans - DHCPR • Quality, Accessibility, Costs • Quality: effectiveness, safety, timeliness, innovativeness • 5-D’s: dissatisfaction> discomfort> disability> disease> death • Process (e.g. guideline adherence) and outcome (e.g. hospital mortality) indicators

  7. Safety and effectiveness scores in DHCPR 2008 Indicators: 20 • Patient views; trust, medical errors • Variation in guideline adherence, staff levels, (avoidable) mortality

  8. DHCPR 2008 Key findings…

  9. DHCPR 2008

  10. DHCPR 2008 Key findings…

  11. DHCPR 2008

  12. DHCPR 2008

  13. DHCPR 2008

  14. Jarman et al – 2008 (in preparation)

  15. Recent papers

  16. Macro ≠ Micro Independent reporting Ranking; does it help? When is HSMR fit enough for kiesBeter? Consumer information; criteria

  17. With a little help from our friends! 5 Mei May 5th

More Related