Definitions of health and social care standards used internationally: A narrative review

O'Connor, L (通讯作者),Hlth Informat & Qual Author, Hlth Informat & Stand Directorate, Unit 1301, Mahon T12 Y2XT, Cork, Ireland.
2023-1
Setting standards is a quality improvement mechanism and an important means for shaping the provision of health and social care services. Standards comprise statements describing a process or outcome of care. Setting standards is a global practice. It would be useful to have an understanding of the underpinning definitions of standards used internationally. Therefore, the aim of this review was to examine definitions of health and social care standards used internationally and identify similarities and differences. A targeted grey literature search of standard-setting bodies' websites and related health legislation was conducted to retrieve explicit definitions of standards. Of 15 standard-setting bodies that were searched, 12 definitions of standards were narratively synthesised. Terms that appeared in two or more of the definitions were extracted. Counts and percentages were calculated for these terms to determine magnitude of use. The commonalities among definitions included 'quality' (n = 6, 50%), 'statements' (n = 5, 42%), 'performance' (n = 5, 42%), and 'measureable' (n = 4, 33%). The less commonly used terms were 'processes' (n = 3, 25%), 'set' (n = 3, 25%), 'evidence based' (n = 2, 17%), 'outcome' (n = 2, 17%), 'safe' (n = 2, 17%), and 'guidance' (n = 2, 17%). Explicit definitions of standards were not retrieved from health legislation documents. Standard-setting bodies develop standards in the context of the health systems in which they are implemented; some are aspirational levels of quality, while others are minimum levels of quality. Researchers, standards developers and policy makers should be cognisant of this when comparing standards between countries.
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT
卷号:38|期号:1|页码:40-52
ISSN:0749-6753|收录类别:SSCI
语种
英语
来源机构
University College Cork
资助信息
This work was conducted as part of the Structured Population and Health-services Research Education (SPHeRE) programme (Grant No. SPHeRE/2019/1). Yvonne Kelly has conducted this work as part of a PhD studentship that is funded by the Health Information and Quality Authority (HIQA).
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
3
2013以来使用计数
3
EISSN
1099-1751
出版年
2023-1
DOI
10.1002/hpm.3573
学科领域
循证公共卫生
关键词
definition health care inspection legislation quality improvement social care standards
资助机构
Health-services Research Education (SPHeRE) programme Health Information and Quality Authority (HIQA)
WOS学科分类
Health Policy & Services Public, Environmental & Occupational Health