Kalite Güvencesi ve Kalite Geliştirme Arasında: 25 Yıllık EQuiP Tarihçesi (1991-2016)

1991 yılında kurulan Avrupa Aile Hekimliği Kalite ve Hasta Güvenliği Derneği (EQuiP), WONCA Avrupa Kalite Geliştirme ve Hasta Güvenliği Ağıdır. Genel pratisyenlik akademik birimleri işbirliğinde aile hekimliği uygulamasında kalite geliştirmeye yönelik araçlar ve yöntemler geliştirmek amacıyla kurulmuştur. 2016 yılı EQuiP’in 25. yıldönümünü olması nedeniyle tanıtım ve faaliyetlerin değerlendirilmesi açısından fırsat olarak görülmüştür. EQuiP'in tarihi; Ürün aşaması (1991-2006), Yansıma aşaması (2006-2011) ve Ağ oluşturma aşaması (2011-şimdi) olarak üç ana aşamada incelenmiştir. Birinci aşama 1991’den 2006 yılına kadar devam etmiştir. Bu aşamada ana ilgi odağı birinci basamak sağlık hizmetlerinde kalite geliştirme ve değerlendirme için ‘herkese uyan tek beden’ araçlar geliştirmekti. Yansıma dönemi 2006-2011 yılları arasında gerçekleşmiştir. Bu dönemde kalite geliştirme, sağlık sistemleri için karar verme ve planlamada, uygulamanın değişiminde gerekli olan yöntemlere yönelik geliştirilen bireysel araçlar ve bireysel yaklaşımlara odaklanılmıştır. Ağ oluşturma aşaması Nisan 2011'de başlamış ve halen devam etmektedir. Bu dönemin odak noktası, ürünler yerine paydaşların ve ağların iş birliği ve katılımıdır. EQuip bu amaçlar doğrultusunda halen pek çok çalışma yürütmektedir.

Anahtar Kelimeler:

Aile hekimliği, hasta güvenliği, kalite geliştirme

Between Quality Assurance and Improvement: 25 Years of EQuiP Service (1991-2016)

The European Society for Quality and Safety in Family Practice (EQuiP) is WONCA Europe's network for Quality Improvement and Patient Safety. It has formally been in service since 1991, with the aim of developing tools and methods for quality improvement in general practice in collaboration with GP research institutions. In 2016, EQuiP is celebrating its 25th Anniversary, which demonstrates an appropriate occasion for contemplating and commenting on the current quality and patient safety developments in the europe context of primary care. The organisational history of EQuiP can be divided into three major phases: Product phase (1991-2006), Reflecting phase (2006-2011) and Networking phase (2011-now). The first phase lasted from 1991-2006, and the main interest was to develop 'one size fits all' tools to assess and improve quality in primary health care. The intermediate phase was from 2006-2011, where the focus for quality development switched from individual tools and an individualistic approach for decision making to health care systems and methods for planning and implementing change. The latest phase started in April 2011 and is still ongoing. During this period, the focal point shifted towards collaboration and involvement of stakeholders and networks rather than products.

Keywords:

Patient safety, family medicine, quality improvement,

PDF

___

1. From closed quality group to open network. Edition: June 2016 http://equip.woncaeurope.org/sites/equip/files/Documents/EQuiP_June2016.pdf (giriş 20.12.2017)
2. Ortiz JMB. Short history of EquiP. http://equip.woncaeurope.org/members/short-history-equip(giriş 20.12.2017)
3. EQuiP Constitution, Version Approved 5ThApril 2013 http://equip.woncaeurope.org/about/constitution(giriş 20.12.2017)
4. Working Groups of EquiP. http://equip.woncaeurope.org/8-working-groups (giriş 20.12.2017)
5. Grol R et al. Patients' priorities with respect to general practice care: an international comparison. European Task Force on Patient Evaluations of General Practice (EUROPEP). Family Practice 1999;16:4-11.
6. Wensing M, Jung HP, Mainz J, Olesen F, Grol R. A systematic review of the literature on patient priorities for general practice care. Soc Sci Med 1998;47:1573-88.
7. Edwards A et al. Assessing organisational development in European primary care using a group based method: A feasibility study of the Maturity Matrix. Int J Health Care Qual Assur 2010;23:8-21.
8. Szecsenyi J. et al. Effectiveness of a quality-improvement program in improving management of primary care practices.CMAJ 2011;18(3):1326-1333
9. de Koning H, Verver JP, van den Heuvel J, Bisgaard S, Does RJ. Lean six sigma in healthcare. J Health Qua 2006;28:4–11.
10. InGPinQI: Innovative lifelong learning of European General Physicians in Quality Improvement supported by information technology 2012. Available at: http://ingpinqi.eu/ (giriş 18.07. 2016).
11. Tomasik T, Windak A, Seifert B, Kersnik J, Jozwiak J. Treatment targets in patients with Type 2 diabetes set by primary care physicians from Central and Eastern Europe. Eur J Gen Pract. 2014;20:253-59.
12. Eur J Gen Pract. Patient safety in primary care (supplement issue). 2015;21:1-77.
13. Vincent C, Esmail A. Researching patient safety in primary care: Now and in the future. Eur J Gen Pract 2015;21:1-2.
14. Second and Third Victim Research Group. Recommendations for providing an appropriate response when patients experience an adverse event with support for healthcare's second and third victims 2015. Available at: http://www.segundasvictimas.es/data/documentos/segundas_victimas_maquetacion_ingles_impresion_v06.pdf (giriş 18.07. 2016).
15. Royal College of General Practitioners. Patient safety implications of general practice overload 2015. Available at: http://www.rcgp.org.uk/policy/rcgp-policy-areas/~/media/Files/Policy/A-Z-policy/2015/RCGP-Patient-safety-implications-of-general-practice-workload-July-2015.ashx (giriş 20.07. 2016).