OECD Reviews of Health Care Quality Caring for Quality in Health Lessons Learnt from 15 Reviews of Health Care Quality (eBook)

Foreword 5
Acknowledgements 6
Table of contents 7
Acronyms and abbreviations 9
Introduction 11
Systemic changes on where and how health care is delivered will optimise both quality and efficiency 15
Lesson 1. High-performing health care systems offer primary care as a specialist service that provides comprehensive care to patients with complex needs 16
Lesson 2. Patient-centred care requires more effective primary and secondary prevention in primary care 22
Lesson 3. High-quality mental health care systems require strong health information systems and mental health training in primary care 25
Lesson 4. New models of shared care are required to promote co-ordination across health and social care systems 29
References 32
Health care systems need to engage patients as active players in improving health care, while modernising the role of health professionals 35
Lesson 5. A strong patient voice is a priority to keep health care systems focussed on quality when financial pressures are acute 36
Lesson 6. Measuring what matters to people delivers the outcomes that patients expect 39
Lesson 7. Health literacy helps drive high-value care 42
Lesson 8. Continuous professional development and evolving practice maximise the contribution of health professionals 45
References 48
Health care systems need to better employ transparency and incentives as key quality-improvement tools 51
Lesson 9. High-performing health care systems have strong information infrastructures that are linked to quality-improvement tools 52
Lesson 10. Linking patient data is a pre-requisite for improving quality across pathways of care 56
Lesson 11. External evaluation of health care organisation needs to be fed into continuous quality-improvement cycles 58
Lesson 12. Improving patient safety requires greater effort to collect, analyse and learn from adverse events 61
References 64
Conclusions 65
Annex A. Policies that influence health care quality across 15 health systems 67