Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia

Klemenc–Ketiš, Zalika; Švab, Igor; Susič, Antonija Poplas

doi:10.1515/sjph-2017-0029

Cited by 12 publications

(14 citation statements)

References 30 publications

(28 reference statements)

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“…In Slovenia, quality and safety at the primary health care level have been the focus of study over the past several years [19–22]. Patient safety features in primary healthcare have been investigated through a study on the Quality and Costs of Primary Care in Europe (QUALICOPC), dealing with the organisation and accessibility of primary healthcare services [23].…”

Section: Introductionmentioning

confidence: 99%

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Klemenc–Ketiš

Makivić

Poplas-Susič

2018

BMC Health Serv Res

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BackgroundSafety culture describes leader and staff interactions, attitudes, routines, awareness, and practices within an organisation. With this study, we aimed to determine the psychometric properties of the Slovenian-language version of the Safety Attitudes Questionnaire (SAQ) – Short Form in primary health care settings.MethodsThis was a cross-sectional study in the largest primary health care in Slovenia. We invited all employees with a leadership role to participate in the study (N = 211). We used the Slovenian-language version of the SAQ – Short Form.ResultsThere were 154 participants in the final sample (73.0% response rate), of which 136 (88.3%) were women. The mean age of the sample was 46.2 ± 10.0 years. Exploratory factor analysis put forward six factors: 1) Perceptions of Management; 2) Stress recognition; 3) Teamwork Climate; 4) Communication; 5) Safety Climate; 6) Working Conditions and Satisfaction. This model explained 61.7% of the variance of the safety culture in the primary health care setting. The reliability of the whole scale and of the six factors, assessed using Cronbach’s alpha, was all above 0.78.ConclusionThe results of our study suggests that the Slovenian-language version of the SAQ – Short Form with six factors could be a reliable and valid tool for measuring the safety culture in the primary health care workers with leadership role In Slovenia. The Slovenian version differed from the original SAQ – Short Form and the majority of other translated versions. Also, the data was from one health centre only and therefore we cannot draw strong conclusions on its external validity.

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Section: Introductionmentioning

confidence: 99%

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Klemenc–Ketiš

Makivić

Poplas-Susič

2018

BMC Health Serv Res

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“…Thus, it is important to become familiar with relevant service quality dimensions and define actionable variables for potential improvements (Tripathi & Siddiqui, 2018). Our article aims to promote the development of relevant quality indicators of services in the healthcare sector (Klemenc-Ketiš et al, 2017) and to offer insight into the topic of knowledge management in the healthcare sector (Han & Pashouwers, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…As data for all our variables were obtained in a one-time single survey, we acknowledge that common method bias might be a methodological issue. With our research, we aim to contribute towards building a cohesive body of literature regarding the quality of healthcare services and knowledge management in the context of public sector organisations (Al Ahbabi et al, 2019) that is currently limited and fragmented (Klemenc-Ketiš et al, 2017;Oluikpe, 2012). In agreement with our overarching theory of the knowledge-based view of the organisation (Grant, 1996;Hislop et al, 2018;Kogut & Zander, 2003), which emphasises the paramount role of knowledge in organisations, our research assumed the relationship between knowledge management and organisational factors as one of the primary sources influencing the quality of services in healthcare institutions.…”

Section: Introductionmentioning

confidence: 99%

Quality of Healthcare Services in Focus: The Role of Knowledge Transfer, Hierarchical Organizational Structure and Trust

Radević

Dimovski

Lojpur

et al. 2021

Knowledge Management Research & Practice

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This paper explores the role of knowledge transfer, hierarchical organisational structure, and trust as important organisational factors that influence knowledge management practices on the quality of healthcare services. Survey data from 151 healthcare employees collected in Montenegro in 2019 was used. Applying hierarchical linear regression, we found a significant and positive relationship between knowledge transfer and quality of healthcare services, and a significant and negative relationship between hierarchical organisational structure and quality of healthcare services. Trust acts as a moderator in the relationship between knowledge transfer and quality of healthcare services and between hierarchical organisational structure and quality of healthcare services. We provide empirical support for the influence of knowledge transfer, hierarchical organisational structure, and trust on the quality of healthcare services provided by Montenegrin healthcare employees. Our results offer theoretical and practical implications derived from this research study.

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“…General practitioners (GPs) throughout Europe oppose the use of quality indicators for pay-for-performance, since the core competences of GP care, like person-centred care, continuity of care or safe prescribing cannot be measured easily. Furthermore, the focus on indicators leads physicians and nurses to spend a substantial part of their time on registration and administration, instead of on the care for patients (4).…”

Section: Introductionmentioning

confidence: 99%

Measuring quality in primary healthcare – opportunities and weaknesses

Arvidsson

Dijkstra

Klemenc–Ketiš

2019

Slovenian Journal of Public Health

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The easy access to data from electronic patient records has made using this type of data in pay-for-performance systems increasingly common. General practitioners (GPs) throughout Europe oppose this for several reasons. Not all data can be used to derive good quality indicators and quality indicators can’t reflect the broad scope of primary care. Qualities like person-centred care and continuity are particularly difficult to measure. The indicators urge doctors and nurses to spend too much time on the registration and administration of required data. However, quality indicators can be very useful as starting points for discussions about quality in primary care, with the purpose being to initiate, stimulate and support local improvement work. This led to The European Society for Quality and Patient Safety in General Practice (EQuiP) feeling the urge to clarify the different aspects of quality indicators by updating their statement on measuring quality in Primary Care. The statement has been endorsed by the Wonca Europe Council in 2018.

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Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia

Cited by 12 publications

References 30 publications

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Quality of Healthcare Services in Focus: The Role of Knowledge Transfer, Hierarchical Organizational Structure and Trust

Measuring quality in primary healthcare – opportunities and weaknesses

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