Institute for Quality Assurance and Transparency in Healthcare (IQTIG), Katharina-Heinroth-Ufer 1, 10787 Berlin, Germany.
Health Policy. 2023 Jul;133:104830. doi: 10.1016/j.healthpol.2023.104830. Epub 2023 May 4.
In Germany, the use of quality data to support hospital capacity planning was introduced in 2017. On behalf of the Federal Joint Committee, IQTIG suggested 11 quality indicators and developed a program on how to collect, evaluate and report data for the clinical areas gynaecological surgery, obstetrics and breast surgery. By analysing data from 2015 to 2021, effects of the introduction of the program on indicator results, statistical discrepancies and impact on care quality are examined. Effects on capacity planning are discussed. Since the program started, indicator results improved in all clinical areas, and statistical discrepancies and the number of assessments with insufficient quality decreased due to enhanced adherence to quality standards and data validity. Effects on capacity planning or the allocation of hospitals have not occurred. Thus, a change of the legal basis to allow a better link between quality and hospital planning is recommended. The approach to use quality data on hospital regulation in Germany is evolving. The current hospital reform in Germany also addresses other approaches to quality-based regulation. Already now, there have been clear improvements in specific indicators as well as lessons for quality assurance and its link to capacity planning provided by the program, which are also applicable to other countries.
在德国，2017 年引入了使用质量数据来支持医院容量规划。IQTIG 代表联邦联合委员会建议了 11 个质量指标，并制定了一个关于如何收集、评估和报告妇科手术、产科和乳房手术临床领域数据的方案。通过分析 2015 年至 2021 年的数据，研究了该方案对指标结果、统计差异以及对护理质量的影响。还讨论了对容量规划的影响。自该方案启动以来，所有临床领域的指标结果都有所改善，由于提高了对质量标准和数据有效性的遵守，统计差异和质量不足评估的数量有所减少。对容量规划或医院分配没有产生影响。因此，建议修改法律依据，以更好地将质量与医院规划联系起来。德国使用质量数据进行医院监管的方法正在不断发展。德国目前的医院改革也涉及到其他基于质量的监管方法。该方案已经在特定指标方面取得了明显的改进，并为质量保证及其与容量规划的联系提供了经验教训，这些经验教训也适用于其他国家。
