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dc.contributor.authorSuija, Kadri
dc.contributor.authorKivisto, Katrin
dc.contributor.authorSarria-Santamera, Antonio 
dc.contributor.authorKokko, Simo
dc.contributor.authorLiseckiene, Ida
dc.contributor.authorBredehorst, Maren
dc.contributor.authorJaruseviciene, Lina
dc.contributor.authorPapp, Renata
dc.contributor.authorOona, Marje
dc.contributor.authorKalda, Ruth
dc.identifier.citationFam Pract. 2015;32(1):69-74es_ES
dc.description.abstractBACKGROUND: The purpose of the study was to measure clinical quality by doing an audit of clinical records and to compare the performance based on clinical quality indicators (CQI) for hypertension and type 2 diabetes across seven European countries: Estonia, Finland, Germany, Hungary, Italy, Lithuania and Spain. METHODS: Two common chronic conditions in primary care (PC), hypertension and type 2 diabetes, were selected for audit. The assessment of CQI started with a literature review of different databases: Organization for Economic Co-operation and Development, World Health Organization, European Commission European Community Health Indicators, US National Library of Medicine. Data were collected from clinical records. RESULTS: Although it was agreed to obtain the clinical indicators in a similar way from each country, the specific data collection process in every country varied greatly, due to different traditions in collecting and keeping the patients' data, as well as differences in regulation regarding access to clinical information. Also, there was a huge variability across countries in the level of compliance with the indicators. CONCLUSIONS: Measurement of clinical performance in PC by audit is methodologically challenging: different databases provide different information, indicators of quality of care have insufficient scientific proof and there are country-specific regulations. There are large differences not only in quality of health care across Europe but also in how it is measured.es_ES
dc.description.sponsorshipEU primecare project was funded under the European Commission’s 7th Framework Programme (grant no. 241595).es_ES
dc.publisherOxford University Press es_ES
dc.subjectDiabetes mellituses_ES
dc.subjectFamily practicees_ES
dc.subjectMedical recordses_ES
dc.subjectPrimary health carees_ES
dc.subjectQuality indicators.es_ES
dc.subjectType 2es_ES
dc.subject.meshChronic Disease es_ES
dc.subject.meshDatabases, Factuales_ES
dc.subject.meshDiabetes Mellitus, Type 2 es_ES
dc.subject.meshEurope es_ES
dc.subject.meshHumans es_ES
dc.subject.meshHypertension es_ES
dc.subject.meshPrimary Health Care es_ES
dc.subject.meshQuality Assurance, Health Carees_ES
dc.subject.meshTreatment Outcome es_ES
dc.subject.meshMedical Audit es_ES
dc.subject.meshQuality Indicators, Health Carees_ES
dc.titleChallenges of audit of care on clinical quality indicators for hypertension and type 2 diabetes across four European countrieses_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.contributor.funderUnión Europea. Comisión Europea. 7 Programa Marco
dc.identifier.journalFamily practicees_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.rights.accessRightsopen accesses_ES

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