Simou Effie, Pliatsika Paraskevi, Koutsogeorgou Eleni, Roumeliotou Anastasia
Department of Epidemiology and Biostatistics, National School of Public Health, Athens, Greece.
Int J Health Plann Manage. 2014 Jul-Sep;29(3):e187-206. doi: 10.1002/hpm.2237. Epub 2014 Jan 28.
The current study describes the development of a preliminary set of quality indicators for public Greek National Health System (GNHS) hospitals, which were used in the "Health Monitoring Indicators System: Health Map" (Ygeionomikos Chartis) project, with the purpose that these quality indicators would assess the quality of all the aspects relevant to public hospital healthcare workforce and services provided.
A literature review was conducted in the MEDLINE database to identify articles referring to international and national hospital quality assessment projects, together with an online search for relevant projects. Studies were included if they were published in English, from 1980 to 2010. A consensus panel took place afterwards with 40 experts in the field and tele-voting procedure.
Twenty relevant projects and their 1698 indicators were selected through the literature search, and after the consensus panel process, a list of 67 indicators were selected to be implemented for the assessment of the public hospitals categorized under six distinct dimensions: Quality, Responsiveness, Efficiency, Utilization, Timeliness, and Resources and Capacity.
Data gathered and analyzed in this manner provided a novel evaluation and monitoring system for Greece, which can assist decision-makers, healthcare professionals, and patients in Greece to retrieve relevant information, with the long-term goal to improve quality in care in the GNHS hospital sector.
本研究描述了一套针对希腊国家公共卫生系统（GNHS）医院的初步质量指标的制定情况，这些指标用于“健康监测指标系统：健康地图”（Ygeionomikos Chartis）项目，目的是评估与公立医院医疗人员和所提供服务相关的所有方面的质量。
在MEDLINE数据库中进行文献综述，以识别提及国际和国家医院质量评估项目的文章，并在线搜索相关项目。纳入的研究需为1980年至2010年期间以英文发表的。之后与该领域的40位专家进行了共识小组会议并采用了远程投票程序。
通过文献检索筛选出20个相关项目及其1698项指标，经过共识小组程序后，选出了67项指标用于评估分为六个不同维度的公立医院：质量、响应性、效率、利用率、及时性以及资源与能力。
以这种方式收集和分析的数据为希腊提供了一个全新的评估和监测系统，可协助希腊的决策者、医疗专业人员和患者获取相关信息，其长期目标是提高GNHS医院部门的护理质量。
