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6 - Improving Quality of Care

from Part 1 - The Public Health Toolkit

Published online by Cambridge University Press:  01 December 2023

Kirsteen Watson
Affiliation:
University of Cambridge
Jan Yates
Affiliation:
NHS England and NHS Improvement
Stephen Gillam
Affiliation:
University of Cambridge
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Summary

Effective health-care makes a large and increasing contribution to preventing disease and prolonging life by reducing the population burden of disease. However, only the right kind of health-care delivered in the right way, at the right time, to the right person can improve health. Health-care interventions that are powerful enough to improve population health are also powerful enough to cause harm if incorrectly used. How can public health specialists know whether their interventions are having the desired effect? Clinicians can monitor the impact of their treatments on an individual patient basis, but how do we examine the impact of a new service? This chapter looks at what we mean by quality of health-care and considers some frameworks for its evaluation.

Type
Chapter
Information
Essential Public Health
Theory and Practice
, pp. 108 - 123
Publisher: Cambridge University Press
Print publication year: 2023

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References

Institute of Medicine (IOM), Committee on Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century, Washington, DC, National Academy Press, 2001.Google Scholar
Swinglehurst, D., Emmerich, N. and Quilligan, S., Rethinking ‘quality’ in health care, Journal of Health Services Research & Policy 19(2), 2014, 65–6.CrossRefGoogle ScholarPubMed
Steel, N., Thresholds for taking antihypertensive drugs in different professional and lay groups: Questionnaire survey, British Medical Journal 320(7247), 2000, 1446–7.CrossRefGoogle ScholarPubMed
Coulter, A., What do patients and the public want from primary care? British Medical Journal 331(7526), 2005, 1199–201.CrossRefGoogle ScholarPubMed
Batalden, P., Getting more from health care: Quality improvement must acknowledge patient coproduction, British Medical Journal 362, 2018, k3617.CrossRefGoogle Scholar
World Health Organization, Quality of Care, Geneva, WHO, 14 October 2022. Available at: www.who.int/health-topics/quality-of-careGoogle Scholar
Last, J. M., A Dictionary of Epidemiology, 4th ed., Oxford, Oxford University Press, 2001.Google Scholar
Donabedian, A., Explorations in Quality Assessment and Monitoring, Vol. 1: The Definition of Quality and Approaches to Its Assessment, Ann Arbor, MI, Health Administration Press, 1980.Google Scholar
Porter, M. E., What is value in health care? New England Journal of Medicine 363, 2010, 2477–81.CrossRefGoogle ScholarPubMed
NHS Digital, About the Compendium of Population Health Indicators. Available at: https://digital.nhs.uk/data-and-information/publications/ci-hub/compendium-indicatorsGoogle Scholar
Organisation for Economic Co-operation and Development (OECD), Health Care Quality and Outcomes Indicators. Available at: www.oecd.org/health/Google Scholar
Steel, N., Bachmann, M., Maisey, S. et al., Self reported receipt of care consistent with 32 quality indicators: National population survey of adults aged 50 or more in England, British Medical Journal 337, 2008, a957.CrossRefGoogle ScholarPubMed
Tudor-Hart, J., Commentary: Three decades of the inverse care law [comment], British Medical Journal 320(7226), 2000, 1819.Google ScholarPubMed
Wennberg, J. E., Unwarranted variations in healthcare delivery: Implications for academic medical centres, British Medical Journal 325(7370), 2002, 961–4.CrossRefGoogle ScholarPubMed
Shrank, W., Rogstad, T. and Parekh, N., Waste in the US health care system: Estimated costs and potential for savings, Journal of the American Medical Association 322(15), 2019, 1501–9.Google ScholarPubMed
Brownlee, S. and Korenstein, D., Better understanding the downsides of low value healthcare could reduce harm, British Medical Journal 372, 2021, n117.CrossRefGoogle ScholarPubMed
Treadwell, J. and McCartney, M., Overdiagnosis and overtreatment: Generalists – it’s time for a grassroots revolution, British Journal of General Practice 66(644), 2016, 116–17.CrossRefGoogle ScholarPubMed
Hogan, H., Zipfell, R., Neuburger, J. et al., Avoidability of hospital deaths and association with hospital-wide mortality ratios: Retrospective case record review and regression analysis, British Medical Journal 351, 2015, h3239.CrossRefGoogle ScholarPubMed
Committee on Quality of Health Care in America (IoM), To Err Is Human: Building a Safer Health System, Washington, DC, National Academy Press, 2000.Google Scholar
Dyer, C., NHS compensation scheme is ‘not fit for purpose’ and needs radical overhaul, say MPs, British Medical Journal 377, 2022, o1085.CrossRefGoogle ScholarPubMed
Independent review of maternity services at Shrewsbury and Telford Hospital NHS Trust, March 2022. Available at: www.ockendenmaternityreview.org.uk/Google Scholar
Sutherland, K. and Leatherman, S., Does certification improve medical standards? British Medical Journal 333(7565), 2006, 439–41.CrossRefGoogle ScholarPubMed
Brook, R. H., Chassin, M. R., Fink, A. et al., A method for the detailed assessment of the appropriateness of medical technologies, International Journal of Technology Assessment in Health Care 2(1), 1986, 5363.CrossRefGoogle ScholarPubMed
Graham, B., Regehr, G. and Wright, J. G., Delphi as a method to establish consensus for diagnostic criteria, Journal of Clinical Epidemiology 56(12), 2003, 1150–6.CrossRefGoogle ScholarPubMed
NHS Employers and the General Practitioners Committee, Quality and Outcomes Framework guidance for GMS contract 2021/22. Delivering investment in general practice, London, NHS Employers, 2021.Google Scholar
Institute for Healthcare Improvement, Washington, DC. Available at: www.ihi.org/Google Scholar
Department of Health, An Organisation with a Memory, London, The Stationery Office, 2000.Google Scholar
Englum, B., Saha-Chaudhuri, P. and Shahian, D., The impact of high-risk cases on hospitals’ risk-adjusted coronary artery bypass grafting mortality rankings, Annals of Thoracic Surgery 99(3), 2015, 856–62.CrossRefGoogle ScholarPubMed
Chassin, M. R., Is health care ready for Six Sigma quality? Milbank Quarterly 76(4), 1998, 565–91.CrossRefGoogle ScholarPubMed
Pringle, M., Bradley, C. P., Carmichael, C. M. et al., Significant event auditing: A study of the feasibility and potential of case-based auditing in primary medical care, Occasional Paper (Royal College of General Practitioners) 70, 1995, i–71.Google Scholar
NHS England, Quality, service improvement and service redesign tools (QSIR), 2022. Available at: www.england.nhs.uk/sustainableimprovement/qsir-programme/qsir-tools/Google Scholar
Greenhalgh, T. and Papoutsi, C., Spreading and scaling up innovation and improvement, British Medical Journal 365, 2019, l2068.CrossRefGoogle ScholarPubMed
Jones, B., Kwong, E. and Warburton, W., Quality improvement made simple: What everyone should know about health care quality improvement, London, The Health Foundation, April 2022. Available at: www.health.org.uk/publications/quality-improvement-made-simpleGoogle Scholar
Dixon-Woods, M., How to improve health care improvement, British Medical Journal 367, 2019, l5514.CrossRefGoogle Scholar

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