Skip to main content
Top
Published in: Israel Journal of Health Policy Research 1/2012

Open Access 01-12-2012 | Original research article

Community healthcare in Israel: quality indicators 2007-2009

Authors: Dena H Jaffe, Amir Shmueli, Arie Ben-Yehuda, Ora Paltiel, Ronit Calderon, Arnon D Cohen, Eran Matz, Joseph K Rosenblum, Rachel Wilf-Miron, Orly Manor

Published in: Israel Journal of Health Policy Research | Issue 1/2012

Login to get access

Abstract

Background

The National Program for Quality Indicators in Community Healthcare in Israel (QICH) was developed to provide policy makers and consumers with information on the quality of community healthcare in Israel. In what follows we present the most recent results of the QICH indicator set for 2009 and an examination of changes that have occurred since 2007.

Methods

Data for 28 quality indicators were collected from all four health plans in Israel for the years 2007-2009. The QICH indicator set examined six areas of healthcare: asthma, cancer screening, cardiovascular health, child health, diabetes and immunizations for older adults.

Results

Dramatic increases in the documentation of anthropometric measures were observed over the measurement period. Documentation of BMI for adolescents and adults increased by 30 percentage points, reaching rates of 61% and 70%, respectively, in 2009. Modest increases (3%-7%) over time were observed for other primary prevention quality measures including immunizations for older adults, cancer screening, anemia screening for young children, and documentation of cardiovascular risks. Overall, rates of recommended care for chronic diseases (asthma, cardiovascular disease and diabetes) increased over time. Changes in rates of quality care for diabetes were varied over the measurement period.

Conclusions

The overall quality of community healthcare in Israel has improved over the past three years. Future research should focus on the adherence to quality indicators in population subgroups and compare the QICH data with those in other countries. In addition, one of the next steps in assessing and further improving healthcare quality in Israel is to relate these process and performance indicators to health outcomes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Institute of Medicine: Envisioning the National Health care Quality Report. Edited by: Hurtado MP, Swift EK, Corrigan JM. 2001, Washington DC: National Academy Press Institute of Medicine: Envisioning the National Health care Quality Report. Edited by: Hurtado MP, Swift EK, Corrigan JM. 2001, Washington DC: National Academy Press
2.
go back to reference Nolte E, Wait S, McKee M: Investing in Health. Benchmarking Health Systems. 2006, London: The Nuffield Trust Nolte E, Wait S, McKee M: Investing in Health. Benchmarking Health Systems. 2006, London: The Nuffield Trust
3.
go back to reference Mattke S, Kelley E, Scherer P, Hurst J, Lapetra MLG, HCQI Expert Group Members: Health Care Quality Inidcators Project Initial Indicators Report. OECD Health Working Papers No. 22. 2006, OECD Mattke S, Kelley E, Scherer P, Hurst J, Lapetra MLG, HCQI Expert Group Members: Health Care Quality Inidcators Project Initial Indicators Report. OECD Health Working Papers No. 22. 2006, OECD
4.
go back to reference Porath A, Rabinowitz G, Raskin-Segal A, Weitzman R: Quality Clinical Primary Healthcare Indicators in Israel, Public Report 2003-2005. 2006, Israel Ministry of Health, Israel National Institute for Health Policy and Health Services Research Porath A, Rabinowitz G, Raskin-Segal A, Weitzman R: Quality Clinical Primary Healthcare Indicators in Israel, Public Report 2003-2005. 2006, Israel Ministry of Health, Israel National Institute for Health Policy and Health Services Research
5.
go back to reference Porath A, Rabinowitz G, Raskin-Segal A, Weitzman R: Quality Clinical Primary Healthcare Indicators in Israel, Public Report 2004-2006. 2007, Israel Ministry of Health, Israel National Institute for Health Policy and Health Services Research Porath A, Rabinowitz G, Raskin-Segal A, Weitzman R: Quality Clinical Primary Healthcare Indicators in Israel, Public Report 2004-2006. 2007, Israel Ministry of Health, Israel National Institute for Health Policy and Health Services Research
6.
go back to reference Porath A, Rabinowitz G, Raskin-Segal A, Weitzman R: Quality Clinical Primary Healthcare Indicators in Israel, Public Report 2005-2007. 2008, Israel Ministry of Health, Israel National Institute for Health Policy and Health Services Research Porath A, Rabinowitz G, Raskin-Segal A, Weitzman R: Quality Clinical Primary Healthcare Indicators in Israel, Public Report 2005-2007. 2008, Israel Ministry of Health, Israel National Institute for Health Policy and Health Services Research
7.
go back to reference Manor O, Shmueli A, Ben-Yehuda A, Paltiel O, Calderon R, Jaffe D: National Program for Quality Indicators in Community Healthcare in Israel Report, 2007-2009. 2011, Jerusalem: Hebrew University - Hadassah, Israel Ministry of Health and Israel National Institute for Health Policy and Health Services Research Manor O, Shmueli A, Ben-Yehuda A, Paltiel O, Calderon R, Jaffe D: National Program for Quality Indicators in Community Healthcare in Israel Report, 2007-2009. 2011, Jerusalem: Hebrew University - Hadassah, Israel Ministry of Health and Israel National Institute for Health Policy and Health Services Research
8.
go back to reference Bendelek Z: Sick fund membership. Periodical Surveys, No. 2270. 2009, Jerusalem: National Insurance Institute Bendelek Z: Sick fund membership. Periodical Surveys, No. 2270. 2009, Jerusalem: National Insurance Institute
9.
10.
go back to reference Hussey P, Anderson G, Berthelot JM, Feek C, Kelley E, Osborn R, Raleigh V, Epstein A: Trends in socioeconomic disparities in health care quality in four countries. Int J Qual Health Care. 2008, 20: 53-61.CrossRefPubMed Hussey P, Anderson G, Berthelot JM, Feek C, Kelley E, Osborn R, Raleigh V, Epstein A: Trends in socioeconomic disparities in health care quality in four countries. Int J Qual Health Care. 2008, 20: 53-61.CrossRefPubMed
11.
go back to reference Marshall MN, Shekelle PG, McGlynn EA, Campbell S, Brook RH, Roland MO: Can health care quality indicators be transferred between countries?. Qual Saf Health Care. 2003, 12: 8-12. 10.1136/qhc.12.1.8.PubMedCentralCrossRefPubMed Marshall MN, Shekelle PG, McGlynn EA, Campbell S, Brook RH, Roland MO: Can health care quality indicators be transferred between countries?. Qual Saf Health Care. 2003, 12: 8-12. 10.1136/qhc.12.1.8.PubMedCentralCrossRefPubMed
12.
go back to reference National Committee for Quality Assurance: The State of Health Care Quality. Reform, the Quality Agenda and Resource Use. 2010, Washington DC: National Committee for Quality Assurance National Committee for Quality Assurance: The State of Health Care Quality. Reform, the Quality Agenda and Resource Use. 2010, Washington DC: National Committee for Quality Assurance
14.
go back to reference OECD (Organization for Economic Co-operation and Development): Health at a Glance 2009. OECD Indicators. 2009, OECD OECD (Organization for Economic Co-operation and Development): Health at a Glance 2009. OECD Indicators. 2009, OECD
15.
go back to reference Baker RD, Greer FR: Committee on Nutrition American Academy of Pediatrics. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics. 2010, 126: 1040-1050. 10.1542/peds.2010-2576.CrossRefPubMed Baker RD, Greer FR: Committee on Nutrition American Academy of Pediatrics. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics. 2010, 126: 1040-1050. 10.1542/peds.2010-2576.CrossRefPubMed
16.
go back to reference Redberg RF, Benjamin EJ, Bittner V, Braun LT, Goff DC, Havas S, Labarthe DR, Limacher MC, Lloyd-Jones DM, Mora S, Pearson TA, Radford MJ, Smetana GW, Spertus JA, Swegler EW, American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; Preventive Cardiovascular Nurses Association: ACCF/AHA 2009 performance measures for primary prevention of cardiovascular disease in adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures for Primary Prevention of Cardiovascular Disease) developed in collaboration with the American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; and Preventive Cardiovascular Nurses Association: endorsed by the American College of Preventive Medicine, American College of Sports Medicine, and Society for Women's Health Research. J Am Coll Cardiol. 2009, 54: 1364-1405. 10.1016/j.jacc.2009.08.005.CrossRefPubMed Redberg RF, Benjamin EJ, Bittner V, Braun LT, Goff DC, Havas S, Labarthe DR, Limacher MC, Lloyd-Jones DM, Mora S, Pearson TA, Radford MJ, Smetana GW, Spertus JA, Swegler EW, American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; Preventive Cardiovascular Nurses Association: ACCF/AHA 2009 performance measures for primary prevention of cardiovascular disease in adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures for Primary Prevention of Cardiovascular Disease) developed in collaboration with the American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; and Preventive Cardiovascular Nurses Association: endorsed by the American College of Preventive Medicine, American College of Sports Medicine, and Society for Women's Health Research. J Am Coll Cardiol. 2009, 54: 1364-1405. 10.1016/j.jacc.2009.08.005.CrossRefPubMed
18.
go back to reference Montori VM, Fernández-Balsells M: Glycemic control in type 2 diabetes: time for an evidence-based about-face?. Ann Intern Med. 2009, 150: 803-808.CrossRefPubMed Montori VM, Fernández-Balsells M: Glycemic control in type 2 diabetes: time for an evidence-based about-face?. Ann Intern Med. 2009, 150: 803-808.CrossRefPubMed
19.
go back to reference Rosen B, Porath A, Pawlson LG, Chassin MR, Benbassat J: Adherence to standards of care by health maintenance organizations in Israe l and the USA. Int J Qual Health Care. 2011, 23: 15-25. 10.1093/intqhc/mzq065.CrossRefPubMed Rosen B, Porath A, Pawlson LG, Chassin MR, Benbassat J: Adherence to standards of care by health maintenance organizations in Israe l and the USA. Int J Qual Health Care. 2011, 23: 15-25. 10.1093/intqhc/mzq065.CrossRefPubMed
20.
go back to reference Casalino LP: The unintended consequences of measuring quality on the quality of medical care. N Engl J Med. 2000, 342: 519-520.CrossRef Casalino LP: The unintended consequences of measuring quality on the quality of medical care. N Engl J Med. 2000, 342: 519-520.CrossRef
21.
go back to reference Wilf-Miron R, Galai N, Gabali A, Lewinhoff I, Shem Tov O, Lernau O, Shemer J: Organisational efforts to improve quality while reducing healthcare disparities: the case of breat cancer screening among Arab women in Israel. Qual Saf Health Care. 2010, 19: 1-6.CrossRef Wilf-Miron R, Galai N, Gabali A, Lewinhoff I, Shem Tov O, Lernau O, Shemer J: Organisational efforts to improve quality while reducing healthcare disparities: the case of breat cancer screening among Arab women in Israel. Qual Saf Health Care. 2010, 19: 1-6.CrossRef
22.
go back to reference Balicer RD, Shadmi E, Lieberman N, Greenberg-Dotan S, Goldfracht M, Jana L, Cohen AD, Regev-Rosenberg SD, Jacobson O: Reducing health disparities: strategy planning and implementation in Israel's largest health care organization. Health Serv Res. 2011, 46: 1281-1299. 10.1111/j.1475-6773.2011.01247.x.PubMedCentralCrossRefPubMed Balicer RD, Shadmi E, Lieberman N, Greenberg-Dotan S, Goldfracht M, Jana L, Cohen AD, Regev-Rosenberg SD, Jacobson O: Reducing health disparities: strategy planning and implementation in Israel's largest health care organization. Health Serv Res. 2011, 46: 1281-1299. 10.1111/j.1475-6773.2011.01247.x.PubMedCentralCrossRefPubMed
23.
go back to reference Kelley ET, Arispe I, Holmes J: Beyond the initial indicators: lessons from the OECD Health Care Quality Indicators Project and the US National Healthcare Quality Report. Int J Qual Health Care. 2006, 18: s45-s51. 10.1093/intqhc/mzl027.CrossRef Kelley ET, Arispe I, Holmes J: Beyond the initial indicators: lessons from the OECD Health Care Quality Indicators Project and the US National Healthcare Quality Report. Int J Qual Health Care. 2006, 18: s45-s51. 10.1093/intqhc/mzl027.CrossRef
24.
go back to reference Chassin MR, Loeb JM, Schmatlz SP, Wachter RM: Accountability measures - using measurement to promote quality improvement. N Engl J Med. 2010, 363: 683-688. 10.1056/NEJMsb1002320.CrossRefPubMed Chassin MR, Loeb JM, Schmatlz SP, Wachter RM: Accountability measures - using measurement to promote quality improvement. N Engl J Med. 2010, 363: 683-688. 10.1056/NEJMsb1002320.CrossRefPubMed
25.
go back to reference Maciosek MV, Coffield AB, Edwards NM, Flottemesch TJ, Goodman MJ, Solberg LI: Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med. 2006, 31: 52-61. 10.1016/j.amepre.2006.03.012.CrossRefPubMed Maciosek MV, Coffield AB, Edwards NM, Flottemesch TJ, Goodman MJ, Solberg LI: Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med. 2006, 31: 52-61. 10.1016/j.amepre.2006.03.012.CrossRefPubMed
26.
go back to reference Legido-Quigley H, McKee M, Nolte E, Glinos IA: Assuring the Quality of Health Care in the European Union. A Case for Action. 2008, Copenhagen: World Health Organization, European Observatory on Health Systems and Policies Legido-Quigley H, McKee M, Nolte E, Glinos IA: Assuring the Quality of Health Care in the European Union. A Case for Action. 2008, Copenhagen: World Health Organization, European Observatory on Health Systems and Policies
Metadata
Title
Community healthcare in Israel: quality indicators 2007-2009
Authors
Dena H Jaffe
Amir Shmueli
Arie Ben-Yehuda
Ora Paltiel
Ronit Calderon
Arnon D Cohen
Eran Matz
Joseph K Rosenblum
Rachel Wilf-Miron
Orly Manor
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Israel Journal of Health Policy Research / Issue 1/2012
Electronic ISSN: 2045-4015
DOI
https://doi.org/10.1186/2045-4015-1-3

Other articles of this Issue 1/2012

Israel Journal of Health Policy Research 1/2012 Go to the issue