ReviewHealthcare (Basel, Switzerland)2026
Operationalizing Quality Measurement in Long-Term Care: A Policy Review and Phased Implementation Framework for Greece.
Review in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
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Abstract
BACKGROUND/
objectivesLong-term care (LTC) is becoming a strategic priority for health systems facing population ageing, multimorbidity, frailty, and increasing demand for coordinated medical and social support. Greece faces these pressures in a context of fragmented governance, limited formal LTC capacity, heavy reliance on family care, and quality oversight that remains largely compliance-oriented rather than performance-oriented. This policy review aims to translate international and national evidence into an operational framework for measuring and improving LTC quality in Greece.
methodsThe review combined a structured search of peer-reviewed literature, international policy reports, statistical sources, and Greek legislative and regulatory texts with a pragmatic feasibility assessment of candidate indicators.
resultsEvidence from OECD and EU systems suggests that mature LTC quality systems share four operational features: legally mandated reporting, standardised indicators, public transparency, and use of data for provider-level improvement. For Greece, the analysis identifies major gaps in legal reporting obligations, data interoperability, workforce monitoring, public reporting, and user-experience measurement. We propose a three-tier indicator framework covering safety, clinical care processes, workforce and staffing, person-centredness, access and equity, efficiency, governance, and digital readiness. Implementation should proceed through a five-year roadmap: foundation, scale-up, and consolidation. Provider-level dashboards and a National LTC Quality Observatory are recommended as key mechanisms for transforming data into continuous quality improvement.
conclusionsA phased, feasible, and legally anchored approach could strengthen patient safety, dignity, operational efficiency, and accountability in Greek LTC.
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