ArticleJournal of general internal medicine2011
The quality of primary care in a country with universal health care coverage.
Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Patients' and General Practitioners' Views About Preventive Care in Family Medicine in Switzerland: A Cross-sectional Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019Article
- How do general practitioners put preventive care recommendations into practice? A cross-sectional study in Switzerland and France.BMJ open · 2017Article
- General practitioners' views and preferences about quality improvement feedback in preventive care: a cross-sectional study in Switzerland and France.Implementation science : IS · 2017Article
- Overview of preventive practices provided by primary care physicians: A cross-sectional study in Switzerland and France.PloS one · 2017Article
- Characterizing the vulnerability of frequent emergency department users by applying a conceptual framework: a controlled, cross-sectional study.International journal for equity in health · 2015Article
- Universal health coverage from multiple perspectives: a synthesis of conceptual literature and global debates.BMC international health and human rights · 2015Article
- Colorectal Cancer Screening in Switzerland: Cross-Sectional Trends (2007-2012) in Socioeconomic Disparities.PloS one · 2015Article
- Clinically relevant quality measures for risk factor control in primary care: a retrospective cohort study.BMC health services research · 2014Article
- Multimorbidity and quality of preventive care in Swiss university primary care cohorts.PloS one · 2014Article
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Authors and funding
11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundStandard indicators of quality of care have been developed in the United States. Limited information exists about quality of care in countries with universal health care coverage.
objectiveTo assess the quality of preventive care and care for cardiovascular risk factors in a country with universal health care coverage. DESIGN AND
participantsRetrospective cohort of a random sample of 1,002 patients aged 50-80 years followed for 2 years from all Swiss university primary care settings. MAIN MEASURES: We used indicators derived from RAND's Quality Assessment Tools. Each indicator was scored by dividing the number of episodes when recommended care was delivered by the number of times patients were eligible for indicators. Aggregate scores were calculated by taking into account the number of eligible patients for each indicator. KEY
resultsOverall, patients (44% women) received 69% of recommended preventive care, but rates differed by indicators. Indicators assessing annual blood pressure and weight measurements (both 95%) were more likely to be met than indicators assessing smoking cessation counseling (72%), breast (40%) and colon cancer screening (35%; all p < 0.001 for comparisons with blood pressure and weight measurements). Eighty-three percent of patients received the recommended care for cardiovascular risk factors, including >75% for hypertension, dyslipidemia and diabetes. However, foot examination was performed only in 50% of patients with diabetes. Prevention indicators were more likely to be met in men (72.2% vs 65.3% in women, p < 0.001) and patients <65 years (70.1% vs 68.0% in those ≥ 65 years, p = 0.047).
conclusionsUsing standardized tools, these adults received 69% of recommended preventive care and 83% of care for cardiovascular risk factors in Switzerland, a country with universal coverage. Prevention indicator rates were lower for women and the elderly, and for cancer screening. Our study helps pave the way for targeted quality improvement initiatives and broader assessment of health care in Continental Europe.
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