[Evaluation of the quality of performance of general practitioners. What is the problem with primary care quality indicators in Hungary?]

Orv Hetil. 2016 Feb 28;157(9):328-35. doi: 10.1556/650.2016.30378.
[Article in Hungarian]

Abstract

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary.

Keywords: alapellátás; financing; finanszírozás; indicators; indikátorok; minőség; performance evaluation; primary care; quality evaluation; teljesítményértékelés.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Adult
  • Ambulatory Care / standards*
  • Efficiency, Organizational / standards
  • Evidence-Based Medicine / standards
  • General Practitioners / standards*
  • Health Equity / standards
  • Health Services Accessibility / standards
  • Humans
  • Hungary
  • Outpatients
  • Patient Safety / standards
  • Patient-Centered Care / standards
  • Pediatrics / standards
  • Physicians, Family / standards*
  • Physicians, Primary Care / standards*
  • Quality Indicators, Health Care / standards*
  • Quality Indicators, Health Care / trends
  • Work Performance / standards*