enqual questionnaire national quality policy in spain susana lorenzo md, mph, phd quality manager...
TRANSCRIPT
ENQual questionnaire National Quality Policy
in Spain
Susana Lorenzo MD, MPH, PhDSusana Lorenzo MD, MPH, PhD
Quality ManagerQuality Manager
Fundación Hospital AlcorcónFundación Hospital Alcorcón
Spanish Health Care SystemSpanish Health Care System
1855 Health Law 1942 Illness' mandatory coverage
Management through Instituto Nacional de Previsión general medicine, drug prescription and several
ambulatory surgery
1967 Health Care Services Ordination (S. S.). Primary , secondary and tertiary levels Clusters’ planning
1977 Social Security White Book
Spanish Health Care SystemSpanish Health Care System
1978 National Health Service 1981 Ministry of health and consumer affairs 1986 Health Law 2002 National health service desegregated
Autonomous Communities 2002 Patient rights law
1986 Health Law1986 Health Law
Universal coverage (100%) Financing through taxes, salary and special taxes NHS model Based on Health care areas for management purposes Primary health Reform based in Alma-Ata Health care level Reorganization Private and public management (concerts are possible) Patients’ rights Community participation regulated (Consejos de Salud)
Objectives:1. Improve managers’ responsibilities and system’s efficiency.2. Patient satisfaction and choice capacity.3. Promote costs consciousness.4. Flexibility and autonomy to manage budgets.5. Improve people participation and implication.
Recommendations:• ORGANIZATION: decentralization, Consejo Interterritorial payment derived form objectives.• MANAGEMENT: to measure health product, to develop economic analysis, clinicians deployment, improve quality in health care• FINANCIATION: from National General Budget besides SS.
Abril ReportAbril Report
2002 National health service desegregated Autonomous Communities
EFQM Excellence Model in Spain EFQM Excellence Model in Spain
Asturias: Hospital Monte Naranco (2) Aragón todos los hospitales y áreas de salud 2002 (1) Baleares: Fundación Hospital Manacor (1) Cantabria: Area Torrelavega Cataluña: Hospital Creu Roja (1), ICO (1), Sagessa (1),
Hospital del Piu 1, AP, otros en curso Galicia: Hospital Arquitecto Marcide (2); Hospital Juan
Canalejo (1) (unidad del corazón) Madrid: todos los hospitales y areas de atención primaria
2003 Murcia: en curso en varios hospitales Osakidetza (1996-2003): 3 autoevaluaciones (hospitales y
áreas). 4 reconocimientos Valencia: Hospital La Fé (1); Instituto de Oftalmología (1)