| KRATKA VSEBINA | Background. Efforts made by healthcare organisations to ensure a high-quality health care show up as a feature of their efficient operation and business soundness. Namely, high-quality health care is not just a mere word as it cannot be judged on the basis of various certificates, standards and protocols. It is more a relationship between the health care practitioners (doctor, nurse) and purchasers of thehealth care services (patients, payees).Without a clear quality health carevision, defined in some strategical directives and goals and operationalised and performed in a form of projects, each headthcare organisation or area is foredoomed to failure. Within the Medical Chamber of Slovenia and by pursuing the project named "Qualtty Healthcare in Slovenia", we want to ensure uniform databases for as many of medicine specialities and subspecialities as possible. Final goal of the project is ensuring a proper, high-quality health care system providing the quality problems are identified and their causes addressed which would, eventually,lead to proper conditions allowing status determination and continual improvements. Methods. We started our project on September 9, 1999 and finished sampling data for our pilot study in September in 2001. That studywas a collaboration of 128 different departments, from 46 areas within 17 hospitals and 7 general practitioners. We started our regular data samplingin the start of 2002. Until December 1, 2002 117 departments from 40 areas within 19 hospitals, 70 general practitioners and 20 dentists tookpart in the project. Complete system for data sampling and analysis is internet based and was developed considering all security, reliability and ease-of-use factors. Conclusions. Partial analysis of sampled data shows how quality of work of a general practitioner can be layered by using only two indicators. // Izhodišča. Težnja po zagotavljanju kakovosti in stopnjevanju le-te do odličnosti je blizu sleherni organizaciji oz. področju kot obeležje učinkovitedejavnosti in urejenosti. Kakovost v zdravstvenem varstvu ni sama sebi namen, predvsem ni tisto, kar je priznanos certifikati ali urejeno s standardi in protokoli, ampak je predvsem to, kar kot dobro občuti na eni strani zdravstveni delavec (zdravnik, sestra), na drugi strani pa uporabnik storitev (bolnik, plačnik). Brez vizije kakovosti, opredeljene v strateških usmeritvah in ciljih ter operacionalizirane in izvedene v projektih je sleherna organizacija oz. področje obsojeno na neuspeh. S projektom Kakovost vzdravstu Slovenije želimo v okviru Zdravniške zbornice Slovenije (ZZS) zagotoviti poenotene podatkovne zbirke (baze podatkov) za čim več medicinskih specialnosti oziroma subspecialnosti. Končni namen projekta je zagotavljanje kakovosti vsistemu zdravstvenega varstva s tem, da se ustvarijo pogoji za ugotavljanjestanja in nenehno izboljšavo le-tega. Metode. S projektom smo pričeli 9. septembra 1999. Septembra 2001 smo zaključili z zbiranjem podatkov za pilotsko štu- dijo. V pilotski študiji je sodelovalo 128 različnih oddelkov, iz 46 področij, v okviru 17 bolnišnic in 7 zdravnikov splošne medicine. Z rednim zbiranjem podatkov smo pričeli v začetku leta 2002. Do 1. decembra 2002 je v rednem delu sodelovalo 117oddelkov, iz 40 področij, vokviru 19 bolnišnic, 70 zdravnikov splošne medicine in 20 zobozdravnikov. Celoten sistem zbiranja in analize podatkov deluje prek svetovnega spleta (interneta) in je bil razvit z upoštevanjem varnosti, zanesljivosti in enostavnosti uporabe. Zaključki. Na primeru s področja splošne medicine smoz delno analizo zbranih podatkov prikazali, kako lahko že samo dva kazalnika razplastita kakovost dela posameznega zdravnika splošne medicine. |