Assessment of primary care by clinical quality indicators.

摘要: This chapter describes to what extent the care delivered in general practices agreement with clinical guidelines. Recommendations for good practice have been summarised 139 indicators 70 national In this study, data on contacts, prescriptions, and referrals a wide range of medical conditions were available 106 quality indicators. Indicators prevalence showed that detection rates could be improved hypertension, hypercholesterolaemia, heart failure, alcohol abuse, dementia, anxiety, asthma children, urine incontinence, hearing problemes, and osteoporosis. Diagnostic imaging was requested according guidelines (76 %), but less the case laboratory tests (53%). Prescription-relation showed that guidelines were more often followed when they related not prescribing certain drugs (78%), rather than when they advised specific (62%). Adherence particularly high (89%). The indicators preventative activities level of adherence (75%) here too some improvement is possible. The provide reference figures current performance general practice Netherlands. tell us about delivered; the variance between provides further information possible improvement. (aut. ref.)