Assuring the Quality of Health Care in the European Union: A Case for Action

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Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard? The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.

Dimensions of quality of care.

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Levels of quality of care. Assessing quality of care.


  • Quality and patient safety;
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Conceptual framework. Quality of care strategies in the European Union. Today, better educated patients want to be involved — and should also be encouraged to get involved — both in their own care process and in the operations in general. Patients and relatives have lots of experiences and competencies that the health systems should take advantage of and use in the designing of health services. In Sweden, this is done through national patient surveys, patient involvement in decision making and regional patient advisory committees.

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We believe in a relationship between healthcare professionals and patients that encourages feedback and patient responsibility for health prevention, medical treatment, diagnostics, monitoring, and self-reporting of health data. We can see a lot of benefits having more motivated and engaged patients with increased understanding, and by that being able to have a more open dialogue with the healthcare professionals. We also expect patient participation to contribute to better patient safety and improved healthcare quality.

Making the patient an integral member of the team, contributes to new progresses in the fight against adverse events. All national quality registries have PROMs, and all registries also have patient representatives in the steering committee. One way to encourage patient participation is to develop and invest in new digital solutions.

Assuring the quality of health care in the European Union. A case for action (2008)

New digital tools can give people more influence, and also greater opportunities to take responsibility for their own healthcare. Patient involvement is not an end in itself.

It is a promising way of increasing patient safety by making use of knowledge and experience of patients. After all, patients view situations from a different point of view and they are the only ones who complete the entire care process. This approach is an essential addition to your own perspective. We believe the patient should be actively and systematically involved when drafting, executing and evaluating patient safety policy.

Patient involvement is one of the basic demands in the Safety Management System. They are also built into the competency frameworks of local commissioners CCGs. These individuals may use health services themselves, for example those in the early stages of dementia, or with a learning disability, sensory impairment or mental health condition. They may also be carers for people who use health services. Children and young people who use services and those who have recently used maternity services are also encouraged to get involved.

Experts by experience attend inspections of health and care services, talking to staff, patients and families and observing how services are delivered. Their feedback is then used to support and inform the judgements of inspectors. Patient involvement is part of the CQC framework for assessment, so these inspections will also be looking at how effective the organisations they inspect are at involving patients.

Another organisation that seeks to use the experiences of patients to improve services is HealthWatch. The NHS in England runs a number of surveys including the friends and family test REF which assesses whether patients and staff would recommend the institution to their loved ones.

Independent of government but now well used within the NHS are various means of collecting contemporaneous patient feedback. The company Iwantgreatcare. There has been some resistance from the medical profession to certain aspects of this very public form of assessment, but the direction of travel is clearly towards greater transparency about the performance of both individual professionals and the institutions and systems in which they work.

Antimicrobial Resistance. Education and training. Improving care. Vulnerable people.

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WHO/Europe | Assuring the quality of health care in the European Union. A case for action ()

Health threats. Patient Safety and Quality of Care. Cross-border cooperation. Value-added tax. Ongoing Projects. Latest Tweets. HOPE euhospitals. Next Events. Read More. Words from our Governors on expectations on improving the quality of healthcare using the experiences and competencies of patients. Eva M. Category all ongoing. European Projects Review our European funded projects. Additional Note. You are donating to : Nowhereland How much would you like to donate? P Hospitals' e-learning and information exchange portal The HE-LP project was implemented as a transnational co-operation project by a consortium of You are donating to : H.

P How much would you like to donate? Bush launched a new initiative, HealthierUS, that encourages Americans to pursue physical activity, healthy eating, and other healthy choices and to get preventive screenings White House, The campaign aims to engage children in a type of physical activity that they enjoy and, ultimately, to help them reap the related benefits of enhanced self-esteem, social connectedness, confidence, and discipline. They may also collaborate with local school programs and engage in many other community-based efforts that target overweight and obesity through a wide range of activities.

In the previous sections, the committee has outlined what population health means in terms of understanding not only the risks of various exposures to individuals but also the importance of incorporating concepts related to the distribution of risk in populations. This chapter has outlined a way to understand how social, environmental, and biological conditions shape population health. Population-based interventions, such as tobacco control policies, show that it is possible to implement cost-effective strategies that benefit society as a whole and improve the health of many segments of the population.

To achieve this goal, the nation will have to develop innovative strategies for interventions for a broad set of health determinants. Many of the determinants of health are part of the broad economic and social context and, thus, beyond the direct control of administrators in public- and private-sector health care organizations. Action on these strategies at the national level will require an alignment of public policy in the agriculture, commerce, education, and treasury sectors of government, among others, to promote health. This includes providing resources to support the population-based research necessary to further our understanding of the social etiology of disease and disability.

There is now a high level of consensus and political will to act. Effective public health systems must be vehicles to accelerate such efforts to save thousands of lives that will otherwise be lost. The special role of the governmental public health infrastructure is to advocate for and educate others about the evidence to support such policy actions and to assure that the public health system—the diverse array of individuals and organizations that must act together for health at the community level—is both committed to and equipped for implementation of a coordinated set of strategies to attain the highest levels of health for the nation.

The next chapters of this report explore the potential role of each component of the public health system in achieving this goal. The special role of the governmental public health infrastructure in this mission will be that of steward, facilitator, and supporter rather than actor in every situation, because assuring a healthy nation cannot be accomplished through a single plan of action or through the efforts of a single governmental agency or sector of the economy.

Instead, it will require a coordinated set of strategies that must be implemented by all Americans—as individuals, families and community mem-. The chapters that follow discuss several partners within a redefined public health system that has as its backbone the governmental public health infrastructure but that includes the resources, perspectives, and actions of other stakeholders who are partners in the public health system.

Each of these partners can increase the relevance of its contributions to population health by considering the multiple determinants of health, especially those that contribute to unequal opportunities for good health. Socioeconomic status and health: the challenge of the gradient.


  1. Background.
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  3. Informal care challenges!
  4. American Psychologist 49 1 — Annual deaths attributable to obesity in the United States. Journal of the American Medical Association 16 — Type 2 diabetes in children and adolescents. Pediatrics 3, Pt.