Quality improvement in primary care: toward the provision of safe, high value, patient-centered, sustainable, and data-informed care.

Chiolero, Arnaud; Rodondi, Nicolas (2019). Quality improvement in primary care: toward the provision of safe, high value, patient-centered, sustainable, and data-informed care. In: Enhancing the quality and safety of Swiss healthcare - short reports. Swiss National Report (pp. 68-78). Bern: Bundesamt für Gesundheit

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In Switzerland, due to the growth and ageing of population, primary health care needs are increasing, especially for the management of chronic diseases and multimorbidity. Physicians are keen to improve the quality of care for their patients, and several inspiring initiatives have been conducted to monitor or improve the quality and safety of primary care in Switzerland. However, most of these initiatives were local and not funded on a sustained basis. Currently, there is no comprehensive approach of quality improvement (QI) in primary care and the culture of QI remains relatively weak, especially regarding monitoring and external accountability. There has never been a national QI program in primary care. Further, there is no national monitoring of quality and safety in primary care, including to track low value care and linked avoidable healthcare costs. We therefore recommend building a national strategy aiming to (1) set up a monitoring system for the quality and safety of primary care, (2) strengthen a culture of QI in primary care, (3) improve the quality of primary care through evidence-based and monitored interventions, (4) reduce low value care, and (5) support experiments to test QI initiatives. This strategy should be defined with citizens, patients, primary care physicians, allied health care providers (e.g., pharmacists), experts in health monitoring, health insurers, and health authorities, under the aegis of medico-scientific institutions with expertise in primary care as well as healthcare research and monitoring. Such a strategy would be key toward the provision of safe, high value, patient-centered, sustainable, and data-informed care.

Item Type:

Book Section (Report Section)

Division/Institute:

04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Chiolero, Arnaud and Rodondi, Nicolas

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

Series:

Swiss National Report

Publisher:

Bundesamt für Gesundheit

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

26 Nov 2019 10:24

Last Modified:

19 Dec 2019 14:48

BORIS DOI:

10.7892/boris.135693

URI:

https://boris.unibe.ch/id/eprint/135693

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