Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies (2019)

by Reinhard Busse, Niek Klazinga, Dimitra Panteli, Wilm Quentin

2019, xxvi + 419 pages
ISBN 978 92 890 5175 0
OECD ISBN 978 92 648 0590 3
CHF 70 / USD 84
Order no 13400206

Quality improvement initiatives take many forms, from the creation of standards for health professionals, health technologies and health facilities, to audit and feedback, and from fostering a patient safety culture to public reporting and paying for quality. For policy-makers who struggle to decide which initiatives to prioritise for investment, understanding the potential of different quality strategies in their unique settings is key.

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Quality of care is a political priority and an important contributor to population health. This book acknowledges that "quality of care" is a broadly defined concept, and that it is often unclear how quality improvement strategies fit within a health system, and what their particular contribution can be. This volume elucidates the concepts behind multiple elements of quality in healthcare policy (including definitions of quality, its dimensions, related activities, and targets), quality measurement and governance and situates it all in the wider context of health systems research.  By so doing, this book is designed to help policy-makers prioritize and align different quality initiatives and to achieve a comprehensive approach to quality improvement.