#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

How can be quality of care successfully measured:
an example of good practice from Denmark


Authors: H. Hnilicová
Authors‘ workplace: Přednostka: MUDr. Mgr. Jolana Těšinová ;  1. lékařská fakulta ;  Ústav veřejného zdravotnictví a medicínského práva ;  Univerzita Karlova v Praze
Published in: Prakt. Lék. 2010; 90(8): 459-462
Category: Reviews

Overview

The article describes the origin, principles and functioning of the Danish National Indicator Project (DNIP), which was established in the Danish Healthcare System in the year 2000. Since then quality standards, indicators and prognostic factors have been further developed. The quality of care is now measured for ten diseases:

  • acute surgery (bleeding gastroduodenal ulcer and perforated peptic ulcer),


  • chronic obstructive pulmonary disease,


  • diabetes,


  • heart failure,


  • hip fracture,


  • lung cancer,


  • schizophrenia,


  • stroke,


  • birth,

  • depression.


Participation in the DNIP is obligatory for all public hospitals where patients suffering from the aforementioned diagnoses are treated. There is a local coordinator within each participating department (clinician), who is responsible for data collection and validation. Data are processed and analysed at the central level. Regional and national clinical audits are organised every year to provide a platform for such discussion for doctors, nurses and other healthcare professionals involved in the treatment patients. The objective is to pinpoint areas within the course of treatment where the quality is already adequate as well as the areas that need to be improved. The results are then made public.

Key words:
Danish National Indicator Project (DNIP), quality indicators, monitoring of selected diseases, project coordination, indicator’s group, clinical epidemiological units, clinical audit.


Sources

1. Danish National Indicator Project [on-line]. Dostupné na http://www.nip.dk/about+the+danish+ national+indicator+project/introduction.

2. Evropská charta jakosti 1998. Příloha 5 k Usnesení vlády České republiky číslo 458 [on-line]. [Cit.2010-2-20]. Dostupné na http://www. npj.cz/ dokumenty/s07.pdf

3. Mainz, J. The National Indicator Project. Health Policy Monitor 2008 [on-line]. [Cit.2010-2-20]. Dostupné na http://www.hpm.org/survey/dk/a12/3.

4. Mainz, J, Bartels, P. Publication of the results of clinical indicators in Denmark. Konference o efektivitě a kvalitě zdravotní péče, Nemocnice Na Homolce 6-7. 3. 2006.

5. Mainz, J., Bartels P.D. Nationwide continuous quality improvement using quality indicators: The Danish National Indicator Project. Int. J. Qual. Health Care 2004, 16 (Suppl. 1), p. 45-50.

6. Mainz, J. Defining and classifying clinical indicators for quality improvement. Int. J. Qual. Health Care 2003, 15, p. 523-530.

7. Mainz, J. Developing evidence based clinical indicators: a state of the art methods primer. Int. Qual. Health Care 2003, 15 (suppl. 1), i5-i11.

8. Ministerstvo zdravotnictví ČR. Portál kvality [on-line]. [Cit.2010-2-15]. Dostupné na http://portalkvality.mzcr.cz/

9. OECD. Towards a Conceptual Framework of OECD Health Care Quality Indicators. Paris: OECD 2004.

10. Palnum, K.D, Petersen, P., Sørensen, H.T. et al. Older patients with acute stroke in Denmark: Quality of care and short term mortality. A nationwide follow up study. Age and aging 2008, 37, 1, p. 90-95.

11. Usnesení Vlády České republiky ze dne 10. května 2000 č. 458 o Národní politice podpory jakosti České republiky.

12. WHO. Health for all in 21st century. Zdraví pro všechny v 21. století. Geneva, 1999.

13. Zdraví 21 – Dlouhodobý program zlepšování zdravotního stavu obyvatelstva ČR. Zdraví pro všechny v 21. století – Usnesení vlády ČR č. 1046 ze dne 30. října 2002. Příloha č. 5 k Usnesení vlády České republiky číslo 458.

Labels
General practitioner for children and adolescents General practitioner for adults
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#