Categoryissue 6-2025, publication

Indicator-based assessment of healthcare quality in selected European Union countries

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dr hab. Agnieszka KISTER – prof. UMCS, Uniwersytet Marii Curie-Skłodowskiej w Lublinie, Instytut Nauk o Zarządzaniu i Jakości, Pl. M. Curie-Skłodowskiej 5, 20-031 Lublin, Polska, e-mail: agnieszka.kister@mail.umcs.pl

Otrzymano/Received 11.12.2025. Przyjęto/Accepted 15.12.2025

pp. 14-20

Abstract

Purpose: The purpose of this article is to highlight the essence and significance of using quality assessment indicators in healthcare in Germany, France, and Italy. The article examines the measurement of care quality across three domains: structure, process, and outcomes in accordance with Donabedian’s framework. It also outlines the benefits of using indicator-based analyses, as well as the challenges associated with their implementation.
Design/methodology/approach: A critical analysis of the literature was conducted, encompassing scientific articles accessible through Scopus, Google Scholar, and PubMed databases. International reports and data from specialist healthcare websites were also used.
Findings/conclusions: In the EU countries analyzed, notable variations emerge in the approaches used to monitor the quality of healthcare. These differences pertain both to the methodological scope of indicator-based assessment and to the degree of patient-centered orientation embedded within the respective evaluation frameworks.
Research limitations: The analysis of indicators was carried out for only a few European Union countries. Practical implications: The results may contribute to further discussion on healthcare quality measures, particularly those focused on the patient.
Originality/value: The study contributes to the existing body of scientific knowledge by highlighting the different approaches to monitoring and evaluating healthcare quality in the healthcare systems of many countries. The results of the study show that, despite the common health policy objectives of the EU, the EU countries indicated the use of different sets of indicators. It was found that the development of quality indicators is closely linked to the digitization of health systems, data availability, and healthcare financing mechanisms. A new element presented in the article is the identification of trends indicating the growing importance of indicators reflecting continuity, coordination, and safety of care.

Keywords

healthcare, EU countries, healthcare quality, quality assessment indicators

The BANI world – only that? Reflections on the problems considered at quality conference in Sopot

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prof. dr hab. inż. Zbigniew KŁOS – Politechnika Poznańska, Wydział Inżynierii Lądowej i Transportu, ul. Piotrowo 3, 60-695 Poznań, Polska, e-mail: zbigniew.klos@put.poznan.pl
dr hab. Jacek KŁOS – Uniwersytet im. Adama Mickiewicza w Poznaniu, Wydział Chemii, ul. Uniwersytetu Poznańskiego 8, 61-614 Poznań, Polska, e-mail: jacek.klos@amu.edu.pl

Received 13.10.2025. Accepted 29.10.2025

pp. 7-13

Abstract

Purpose: The main aim is to present some panaceas, especially “antifragility”, “mindfulness” and “intuition”, to the global challenges appearing in the concept of the BANI world.
Design/methodology/approach: The issues taken up are of key importance for reflecting on the possibilities of confronting the challenges of the BANI world.
Findings/conclusions: The analysis of available proposals indicates that there are already some rational ways for finding solutions to problems signaled in the idea of the BANI world.
Research limitations: The term BANI world seems to be an incomplete concept at present and will probably be extended in the future.
Practical implications: The issues discussed in the article should inspire people responsible for the development of organizations, especially industrial enterprises, to reflect and then take actions that will allow them to successfully confront the challenges of the BANI world in the future.
Originality/value: The literature on the issue of the BANI world, and especially the methods and means of dealing with its challenges, is very limited.

Keywords

BANI world, challenges, fragility – antifragility, anxiety – mindfulness, not schematic – intuition

Numerical goals in E. Deming’s concept

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prof. dr hab. Marek BUGDOL – Uniwersytet Jagielloński, Wydział Zarządzania i Komunikacji Społecznej, ul. prof. St. Łojasiewicza 4, 30-348 Kraków, Polska, e-mail: marek.bugdol@uj.edu.pl

Received 29.11.2025. Accepted 8.12.2025

pp. 2-6

Abstract

Purpose: The aim of this article is to determine the extent to which E. Deming’s views on numerical goals are supported by current research. E. Deming opposed setting numerical goals, believing that they led to competition rather than quality improvement.
Design/methodology/approach: The primary method was a literature review, consistent with the procedure proposed by J. W. Creswell. Cause-and-effect analysis was used to identify the key issues related to numerical target settings (their sources and consequences).
Findings: A review of various research findings demonstrates that Deming’s views remain relevant despite the passage of time. A goal that lies beyond the ability to achieve will lead to discouragement, frustration, and demoralization. It is a cause of lower quality.
Research limitations: The content presented in this article applies only to a subset of organizations – specifically those where investors expect quick profits. In small organizations, where the owners are management, such situations may not occur.
Practical implications: The results of the literature review can be useful for improving quality management processes. The practical recommendations formulated – although difficult to implement – can mitigate the negative effects of pressure to achieve numerical goals.
Originality/value: While there are studies on Deming’s views on the concept of management by objectives, there are no works showing the process of exerting pressure on their implementation.

Keywords:

numerical goals, Deming, management by objectives