Project Duration: 24 Months
Background: While nation-wide assessment of the quality and cost of medical care has become a core health policy concern in developed countries, health authorities in the developing nations have not entirely conceived this concept and its applications. Hence, there is little understanding of the performance of the healthcare system based on its actual achievements (patient level outcomes per expenses) for the population in these countries.
- Estimating the quality of care for selected burdensome medical conditions in Iran by measuring selected patient-level quality measures.
- Exploring the elements of the episode of care (EOC) for the selected conditions.
- Estimating the overall cost of an episode of care for the selected conditions.
IQCAMP is a national survey that measures the value of care, conceptualized as quality per cost for a set of high-burden high-cost medical conditions in the country. The conditions are myocardial infarction, congestive heart failure, diabetes, stroke, chronic obstructive pulmonary disease, end-stage renal disease, major depression. A group of Iranian clinicians will audit and select a limited number of quality metrics endorsed by a relevant US institution (e.g. National Quality Forum) for each of the conditions.
Sampled patients will be followed up for the entire episode of care. The episodes typically range between three and six months depending on the type of the medical condition. Self-reported or provider-reported information relevant to quality, utilization, and cost of care will be recorded for each episode. The cost of care will include both out of pocket payments and insurance shares. Self-reported costs and utilization data will be confirmed by the provider/insurance recorded information.