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

Česká verzia

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

Summary

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.

Zdroje

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