This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Mankuta, D. Articles by Beiran, I. Search for Related Content PubMed PubMed Citation Articles by Mankuta, D. Articles by Beiran, I. Pubmed/NCBI databases Medline Plus Health Information Choosing a Doctor or Health Care Service Family Issues Talking With Your Doctor Social Bookmarking                         What's this?

A Quality Management Project in Israeli Navy Primary Care Clinics

Israeli Defense Forces, Medical Corps, and The Medical Department of the Israeli Navy, Israel

S. Vinker, MD

Israeli Defense Forces, Medical Corps, and The Medical Department of the Israeli Navy, Israel, vinker{at}internet-zahav.net

B. Itzhak, MD

Israeli Defense Forces, Medical Corps, and The Medical Department of the Israeli Navy, Israel

I. Kaiserman, MD, PhD, MPH

Israeli Defense Forces, Medical Corps, and The Medical Department of the Israeli Navy, Israel

I. Beiran, MD

Israeli Defense Forces, Medical Corps, and The Medical Department of the Israeli Navy, Israel

The objective of this project was to establish a measurable process of continuous quality improvement of health care services in the Israeli naval primary care clinics. All navy clinics were surveyed at 6-month intervals. The quality of medical recording was evaluated, and instructive workshops were given on the matter. Real-time physician-patient interactions were evaluated, and immediate feedback was given to the examining physician. Complementary medical services were evaluated and steps toward improvement were taken. A total of 1043 medical records were examined. A general improvement in medical-record documentation (from a score of 6.0 ± 2.5 to a score of 7.4 ± 1.9, P < .001) was demonstrated during the first 3 years of the project. No significant change was noticed in the physician-patient interaction score. Complementary medical services improved from a score of 4.9 ± 1.5 in 1994 to a score of 7.4 ± 0.9 3 years later (P < .02). This project achieved a significant improvement in the quality of medical recording and of complementary medical services.

American Journal of Medical Quality, Vol. 14, No. 5, 211-215 (1999)
DOI: 10.1177/106286069901400504


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?