SAĞLIK HİZMETLERİNDE KALİTE İYİLEŞTİRME VE TÜRKİYE SAĞLIK HİZMETLERİ KALİTE VE AKREDİTASYON ENSTİTÜSÜ

Year 2018, Volume: 1 Issue: 1, 1 - 5, 28.05.2018

Keziban Avcı

Abstract

Kaliteli sağlık hizmeti sunmak isteyen kurum ve kuruluşlar,
sunduğu hizmetin kalitesini ölçmek, çalışan, klinik ve kurum düzeyinde
iyileştirmeler planlayıp uygulamak ve yeniden değerlendirme sürecini bir sistem
dâhilinde sürekli hale getirmek durumundadır. Bir organizasyonun misyonunda yer
alan, doğru şeyi yapmak ve mükemmelliğin peşinde koşmak kaliteye iyileştirme
programları ile sağlanabilecektir. Türkiye’de akreditasyonun yanı sıra sağlık
kurumları için merkezi kalite denetimleri yapılmaktadır. Aynı zamanda sürekli
ve sistematik kalite iyileştirme aktivitelerini güvence altına alan hasta
odaklı kalite yönetim sistemlerine ihtiyaç duyulmaktadır. Bu çalışma, TÜSKA
akreditasyon sistemine ilaveten sürekli kalite iyileştirme programlarının
oluşturulmasının önemi ortaya koymak amacı ile yapılmıştır.

Keywords

: Sağlık hizmetleri, Kalite iyileştirme, Sürekli kalite iyileştirme, Kalite yönetimi, Kalite yönetim sistemleri, Hastane kalite yönetim sistemleri, Türkiye Sağlık Hizmetleri Kalite ve Akreditasyon Enstitüsü (TÜSKA

QUALITY IMPROVEMENT IN HEALTHCARE AND TURKISH HEALTH CARE QUALITY AND ACCREDITATION INSTITUTE

Abstract

Institutions and organizations wishing to
provide quality healthcare services must measure the quality of the service
they offer, plan and implement improvements at the employee, clinic and
institutional level, and make the re-evaluation process continuous within a
system. The mission of an organization, the desire to do the right thing and
the general pursuit of excellence are reasonable justifications for quality
improvement programs. In addition to accreditation, central quality auditing
are carried out for health institutions in Turkey. At the same time, there is a
need for patient-focused quality management systems that ensure continuous and
systematic quality improvement activities. This study was carried out with the
aim of demonstrate the importance of continuous quality improvement programs in
addition to TUSKA accreditation system.

Keywords

Health care; Quality improvement, Continuous quality improvement, Quality management, Quality management systems, Hospital quality management systems, Turkish Health Care Quality And Accreditation Institute (TUSKA)

References

• Atun R., Aydın S., Chakraborty S., Sümer S., Aran M., Gürol I., . . . Akdağ, R. (2013),Universal Health Coverage in Turkey: Enhancement of Equity. Lancet, 382(6), 65-99.Avcı K. (2017). Sağlık Hizmet Kalitesinin İyileştirilmesi İçin Klinik Kalite Ölçümü. Sağlık Akademisyenleri Dergisi, 4(3),181-185.Batalden P., Davidoff F. (2007).Teaching Quality Improvement; The Devil is in the Details. The Journal of the American Medical Association, 298(9), 1059-1061.Caldana, G., Gabriel, C. S. (2017). Evaluation of the Hospital Accreditation Program: Face and Content Validation. Rev bras Enferm, 70(1), 41-47. doi:http://dx.doi.org/10.1590/0034-7167-2016-0184Fetterolf D., Shah R.K. (2010). Economics and Finance in Medical Quality Management” (Editor: Prathibha Varkey. In: Medical Quality Management Theory And Practice), Jones and Bartlett Publishers, London. pp. 43-74.Heuvel, J. v., Niemeijer, G. C., Does, R. J. (2013). Measuring Healthcare Quality: the Challenges . International Journal of Health Care Quality Assurance, 26(3), 269-278.Kaplan HC, Brady PW, Dritz MC, Hooper DK, Linam WM, Froehle CM, Margolis P. (2010). The Influence of Context on Quality Improvement Success in Health Care: A Systematic Review of the Literature. The Milbank Quarterly, 88(4), 500–559.Kelly D.L. (2007). Applying Quality Management in HealthCare: A Systems Approach, 2.ed, AUPHA HAP, 201-215.National Institute for Standards and Technology. (2006). Healthcare Criteria for Performance Excellence. Washington, DC: National Institute for Standards and Technology.Nudurupati S.S., Bititci U.S., Kumar V., Chan F.T.S. (2010). State of the art literature review on performance measurement. Computers & Industrial Engineering, doi:10.1016/j.cie.2010.11.010Resmi Gazete (26/11/2014). Türkiye Sağlık Enstitüleri Başkanlığı Kurulması ile Bazı Kanun ve Kanun Hükmünde Kararnamelerde Değişiklik Yapılmasına Dair Kanun. http://www.mevzuat.gov.tr/MevzuatMetin/1.5.6569.pdf Erişim Tarihi:02.09.2017Spencer E., Walshe K. (2009). National Quality Improvement Policies and Strategies in European Healthcare Systems. BMJ Quality & Safety Health Care, 18(Suppl I): i22–i27.Stabile M, Thomson S, Allin S, Boyle S, et al. (2012). Health care cost containment strategies used in four other high-income countries hold lessons for the united states. Health Affairs, 32(4),643-652.The Agency for Healthcare Research and Quality, A Quick Look at Quality, https://archive.ahrq.gov/consumer/qnt/qntqlook.htm (Erişim:28.09.2017)The Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. https://www.ncbi.nlm.nih.gov/books/NBK222265/#ddd00039 (Erişim:28.09.2017)United Nations. Adopting Consensus Text, General Assembly Encourages Member States to Plan, Pursue Transition of National Health Care Systems towards Universal Coverage. http://www.un.org/press/en/2012/ga11326.doc.htm (Erişim:28.09.2017)Varkey P. (2010). Basics of Quality Improvement (Editor: Prathibha Varkey. In: Medical Quality Management Theory And Practice), Jones and Bartlett Publishers, London. pp. 43-74.World Bank and Financing Global Health (2017). Universal Health Coverage, Health Systems Strengthening, and the World Bank. BMJ; 358 doi: https://doi.org/10.1136/bmj.j3347 World Health Organization (2011). Rio Political Declaration on Social Determinants of Health. http://www.who.int/sdhconference/declaration/Rio_political_declaration.pdf (Erişim:28.09.2017)Yıldız, M . (2018). Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma. Sağlık Bilimleri ve Meslekleri Dergisi, 5 (2), 188-200. DOI: 10.17681/hsp.365273