3616 : FAMILY MEDICINE IN KOSOVA AND QUALITY IMPROVEMENT

Author(s): 
Ha/iii, Gene; Hashani, Valdet; Turjaka, Arberesha
Text: 
Oral Presentation
BACKGROUND: Historically health care services In Kosovo were oriented toward secondary level and hospital specialists, while primary health care services have been provided by non-specialist GP's and inadequately trained nurses. A new Health Policy for Kosovo identifies primary health care as a cornerstone of the health care system.
AIM: Through this presentation I would like to present the Kosovo experience of introducing the concept of Family Medicine within PHC services in Kosovo, and the quality improvement instruments used.
METHODOLOGY: The Centre for Development of Family Medicine (CDFM) was established to develop family medicine in Kosovo. The organization is focused on two parallel activities, education and institutionalization. National stakeholders developed the strategy for implementation of family medicine, including quality improvement. The strategy contains a detailed plan of action and identifies responsible institutions and individuals. For the purpose of improving clinical performance, health care providers were trained in Clinical Governance, including Clinical Audit, Peer review, Development of Clinical Guidelines, CPD and Microsystems approach.
RESULTS: A Quality assurance office was established within CDFM. · Sixteen clinical guidelines have been developed. · Peer review groups were established. · Health care professionals trained in clinical governance and clinical audit. · A system of CPD based on assessment of needs of doctors and patients with the use of personal portfolio and linked to revalidation, has been introduced. · Microsystems approach has been accepted in some of health care centres to stimulate quality improvement in service delivery.
CONCLUSION: For the successful implementation of change four key questions need to be answered; a) is the time right, b) are things being done in right sequences the right priorities being addressed at the right time c) is there commitment and local ownership.
Topic: Development of Family Practice Around the World