Decrease in Support for Israel's National Program for Quality Indicators in Community Healthcare

A survey conducted in 2010 and 2020 among Israeli primary care physicians revealed a decrease in support for Israel's National Program for Quality Indicators in Community Healthcare. The program measures various aspects of healthcare quality, but its implementation has led to undesirable side effects such as increased workload, over-competitiveness, and managerial pressures. Despite widespread support for the program, a significant proportion of respondents experienced negative effects, which remained uncorrected between the two surveys.

Key Takeaways:

  • The survey found a decrease in support for the use of quality indicators among primary care physicians between 2010 and 2020, with a drop from 88% to 81% in the proportion of respondents perceiving it as important to measure clinical performance.
  • The proportion of respondents who perceived monitoring as contributing to improvement also decreased from 66% to 60%.
  • Over half of respondents (58%) in 2020 felt that the program was associated with increased workload, compared to 63% in 2010.
  • Similar proportions of respondents in 2010 and 2020 felt that the program was associated with over-competitiveness (47% and 48%, respectively) and excess managerial pressure (58% and 60%, respectively).
  • The study sample comprised 605 physicians in 2010 and 450 physicians in 2020.
  • The study suggests that while support for the program remains high, its implementation must consider the negative side effects experienced by primary care physicians.

Statistics:

  • 88% of respondents in 2010 perceived it as important to measure clinical performance of some quality indicators.
  • 81% of respondents in 2020 perceived it as important to measure clinical performance of some quality indicators.
  • 66% of respondents in 2010 perceived that monitoring contributed to improvement.
  • 60% of respondents in 2020 perceived that monitoring contributed to improvement.
  • 63% of respondents in 2010 felt that the program was associated with increased workload.
  • 58% of respondents in 2020 felt that the program was associated with increased workload.
  • 47% of respondents in 2010 felt that the program was associated with over-competitiveness.
  • 48% of respondents in 2020 felt that the program was associated with over-competitiveness.
  • 58% of respondents in 2010 felt that the program was associated with excess managerial pressure.
  • 60% of respondents in 2020 felt that the program was associated with excess managerial pressure.

Sources:

  • "Primary care physicians' perceptions of Israel's national program for quality indicators in community healthcare- 2010 and 2020." Israel Journal of Health Policy Research, 2025,14(1):1-11.
  • BMC (publisher) - http://www.ijhpr.org/
  • "Reports Outline Health Policy Study Results from Ariel University (Primary care physicians' perceptions of Israel's national program for quality indicators in community healthcare- 2010 and 2020)." Health & Medicine Week. May 23, 2025; p 3737.