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| Content Provider | OECD iLibrary |
|---|---|
| Organization | OECD |
| Abstract | The Czech Republic has made significant progress in improving the quality of health care in recent decades. The reduction in case-fatality rate after a heart attack, for example, is amongst the steepest in the OECD, more than halving from 15.7% in 2001 to 6.8% in 2011. At the same time, the country has one of the lowest levels of health care expenditure among OECD countries, at 7.2% GDP in 2011. But compared to its peers, quality monitoring and quality improvement activities remain at a basic level. There is great emphasis on ensuring that minimum standards are met, whilst initiatives to encourage continuous quality improvement are less developed. An important explanatory factor is the relatively immature data infrastructure that underpins Czech health care. This prevents more detailed, transparent and continuous quality monitoring of clinical processes and patient outcomes. A linked and perhaps deeper driver concerns the fact that frequent and extensive changes of government officials appear to hinder the design and implementation of new quality improvement initiatives. To move to the next stage of continuous quality improvement, the Czech Republic needs to use health information better, in particular by publishing more measures of the outcomes of care. Greater consistency of vision, policies, and co-ordination across key bodies, including the various state offices and institutes for safety, quality and information, insurers and health care providers is also needed. The health system should also develop a more proactive approach to managing chronic diseases such as diabetes, through better primary and secondary prevention work. |
| Page Count | 25 |
| Starting Page | 15 |
| Ending Page | 39 |
| Language | English |
| Publisher | OECD Publishing |
| Publisher Date | 2014-06-25 |
| Access Restriction | Open |
| Subject Keyword | Social Issues/Migration/Health |
| Content Type | Text |
| Resource Type | Chapter |
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