Iran Quality of Care in Medicine Program, (IQCAMP)
Aim I: Estimate the quality of care for selected burdensome medical conditions in Iran by measuring selected patient-level quality measures.
Aim II: Explore the elements of the episode of care (EOC) for the selected conditions.
Aim III: Estimate the overall cost of an episode of care for the selected conditions.
Aim I: Estimate the quality of care for selected burdensome medical
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, asthma, chronic obstructive pulmonary disease, end-stage renal disease, major depression, and road injuries. We will use a cluster analysis method to calculate a nationally representative sample for each of these conditions. 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. We will also devise and validate additional tools that are not customized and validated for Iranian population (e.g. drug adherence questionnaire). 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.
The core results are a series of quality indicators along with costing information for the episode of care per each condition. We will also report the continuity of care metric as a measure of integrated care.