Community healthcare in Israel: quality indicators 2007-2009.
BACKGROUND
The National Program for Quality Indicators in Community Healthcare in Israel (QICH) was developed to provide policy makers and consumers with information on the quality of community healthcare in Israel. In what follows we present the most recent results of the QICH indicator set for 2009 and an examination of changes that have occurred since 2007.


METHODS
Data for 28 quality indicators were collected from all four health plans in Israel for the years 2007-2009. The QICH indicator set examined six areas of healthcare: asthma, cancer screening, cardiovascular health, child health, diabetes and immunizations for older adults.


RESULTS
Dramatic increases in the documentation of anthropometric measures were observed over the measurement period. Documentation of BMI for adolescents and adults increased by 30 percentage points, reaching rates of 61% and 70%, respectively, in 2009. Modest increases (3%-7%) over time were observed for other primary prevention quality measures including immunizations for older adults, cancer screening, anemia screening for young children, and documentation of cardiovascular risks. Overall, rates of recommended care for chronic diseases (asthma, cardiovascular disease and diabetes) increased over time. Changes in rates of quality care for diabetes were varied over the measurement period.


CONCLUSIONS
The overall quality of community healthcare in Israel has improved over the past three years. Future research should focus on the adherence to quality indicators in population subgroups and compare the QICH data with those in other countries. In addition, one of the next steps in assessing and further improving healthcare quality in Israel is to relate these process and performance indicators to health outcomes.
Program directorate of the National Program for Quality Indicators in Community Healthcare in Israel, Ministry of Health, Israel. denaj@ekmd.huji.ac.il.
Dena H
DH
Jaffe
Amir
A
Shmueli
Arie
A
Ben-Yehuda
Ora
O
Paltiel
Ronit
R
Calderon
Arnon D
AD
Cohen
Eran
E
Matz
Joseph K
JK
Rosenblum
Rachel
R
Wilf-Miron
Orly
O
Manor