Was bringt Public Reporting von Qualitätsdaten?

Zusammenfassung

Zielsetzung Public Reporting (PR) von Qualitätsdaten gehört zu modernen Gesundheitssystemen. Jedoch zeigen aktuelle Reviews, dass der Nutzen begrenzt ist. Mit dem Nationalen Verein für Qualitätsentwicklung in Spitälern und Kliniken (ANQ) hat man auch in der Schweiz ein Messprogramm etabliert. Er misst in den stationären Sektoren unter anderem die Patientenzufriedenheit. Insbesondere bei den Leistungserbringern interessieren die Verhaltensstrategien auf solche Initiativen, da man idealerweise von einer Übernahme ins interne Qualitätsmanagement ausgeht.

Methodik Semistrukturierte Interviewstudie von Seniormanagern in Deutschschweizer Rehabilitationskliniken unter Berücksichtigung des Neo-Institutionalismus.

Ergebnisse Seniormanager wenden eine Fülle von Verhaltensstrategien an, wobei zustimmende und ablehnende Strategien gleichzeitig vorkommen.

Schlussfolgerungen Externe Qualitätssicherungssysteme, wie der ANQ, führen nicht zwangsläufig zur Berücksichtigung für die interne Qualitätsarbeit. Vor allem lokale Faktoren scheinen erfolgskritisch für PR.

Abstract

Aim Public Reporting (PR) of quality data is a common tool towards quality improvement in health care. Recent reviews show that there is a lack between its use and benefit. The National Association for Quality Development in Hospitals and Clinics (ANQ) developed a public reporting scheme for the inpatient sector in Switzerland. In theory, providers should take notice of them and start quality improvement. Does it work?

Method Semistructured interview study with senior executives of inpatient rehabilitation clinics in the German part of Switzerland. Use of neo-institutionalism as theoretical lens.

Results Executives do react, but their strategies are very broad. Simultaneously accepting and critical behaviors are being applied.

Conclusion External quality assurance – how ANQ does – do not necessarily evoke internal quality improvement. Local factors seem to be vitally for success of PR.

Schlüsselwörter

Veröffentlichung - Gesundheitsversorgung - Qualitätssicherung - Patientenzufriedenheit - Neo-Institutionalismus

Key words

Public Reporting - health care - quality assurance - patient satisfaction - neo-institutionalism

Publication History

Article published online:
22 December 2020

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