In France, we know the rankings are published regularly by the weekly Le Point (rankings of hospitals, clinics, maternity clinics). To date, the online rankings are virtually nonexistent in France. In the U.S. however, in a context where health is more in tune with market forces and consumerism (government agencies and corporations purchasing "care, contacting suppliers about their services, guardianship wishes to standardize the 'Information on the provision of care and promote "informed choice" in patients) sites rating has been around for years.
Beyond the use of these classifications (either by patients or doctors who guide the health system), well known to this day, the online rankings differ in their objectives and their methods. They may be the goal of classifying the entire health care supply (Health Grades), or rather to identify sup pliers who satisfy the conditions of excellence (US News). They can emphasize the characteristics of supply structures (US News for hospitals, Health Grades for suppliers other than hospitals), or rather the "results" achieved (Health grades for hospitals).
[...] All physicians practicing in the United States can be found on the site except the doctor who have just become active (they can send an email and HealthGrades, after verification, will their online form). The rankings of institutions: Establishments (other than hospitals) are of various kinds, and are distinguished by the age of the patients received and the type of care offered: "nursing home", "home health", "hospice", "fertility clinic. The rankings developed on the nursing home, home health and hospice have similarities. [...]
[...] Guarantees on data quality The raw data come from two sources: The Medicare files from the Centers for Medicare and Medicaid Services formerly Health Care Financing Administration For obstetrics, files sent to 18 states by HealthGrades Patients included in the calculations are All patients over 65 who are in the Medicare program, excluding patients whose medical records were excluded during the quality control data (patients below 65 years, patients who left hospital against the medical opinion . which allows to integrate all the country's hospitals and reasoning on cohorts consistent since Medicare population represents the majority of patients for all procedures studied. [...]
[...] It calls on doctors to encourage patients to go on the Web by guiding their steps toward such a site in their research to 70% of the questions raised by patients during consultations remain unanswered due to time or know the answer. Establishing trust also requires access to shared electronic health record of the patient. Conflicts escalate and are resolved in the courts have often originated in a misunderstanding arising from a lack of communication. Public access to the National Practitioner Databank Also in this perspective, George Lundberg campaigning to make publicly available information from the National Practitioner Databank, as is the case in some states including Massachusetts. [...]
[...] Leaders of healthcare organizations must be convinced of the need to create a "safety culture" in schools. They must be convinced that it is necessary to invest, and a return on investment is possible. This is the condition that they introduce the necessary changes in their organizations: incentive to report errors, given time to analyze the side effects and vulnerable systems, investment in training, redesign of systems . Involving patients Patients may be involved in the process of improving quality. [...]
[...] What information has passed unnoticed in the heart of the summer or it larger world, no response has welcomed the publication by the CNAMTS the status of reimbursement of health. Between the first seven months of 2001 and the first seven months of 2002, spending on city care grew by Another problem is felt most cruelly a little each year during the summer vacation period: the lack of hospital staff, which involved the nursing shortage. In the United States, a report accompanying the Commission for Accreditation of health facilities (JCAHO), an institution responsible for the assessment of U.S. [...]
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