A quality management project in Israeli navy primary care clinics

D. Mankuta, S. Vinker*, B. Itzhak, I. Kaiserman, I. Beiran

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


The objective of this project was to establish a measurable process of continuous quality improvement of health care services in the Israeli naval primary care clinics. All navy clinics were surveyed at 6-month intervals. The quality of medical recording was evaluated, and instructive workshops were given on the matter. Real-time physician-patient interactions were evaluated, and immediate feedback was given to the examining physician. Complementary medical services were evaluated and steps toward improvement were taken. A total of 1043 medical records were examined. A general improvement in medical-record documentation (from a score of 6.0 ± 2.5 to a score of 7.4 ± 1.9, P < .001) was demonstrated during the first 3 years of the project. No significant change was noticed in the physician-patient interaction score. Complementary medical services improved from a score of 4.9 ± 1.5 in 1994 to a score of 7.4 ± 0.9 3 years later (P < .02). This project achieved a significant improvement in the quality of medical recording and of complementary medical services.

Original languageAmerican English
Pages (from-to)211-215
Number of pages5
JournalAmerican Journal of Medical Quality
Issue number5
StatePublished - 1999


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