Building Health Care Quality Networks at Local Levels: Quality Health Care: An International Issue

1995 ◽  
Vol 7 (3) ◽  
pp. 291-292
Author(s):  
M. A. Cummings ◽  
S. Land ◽  
R. Greene ◽  
J. M. Paganini ◽  
J. C. de Noronha
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Quality Health Care ◽  
Quality Health ◽  
International Issue ◽  
Local Levels

scholarly journals Quality indicators of dental health care in Serbia

2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health System ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Care Quality ◽  
System Quality ◽  
Quality Health Care ◽  
Quality Health

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.

Tendering Short-Term Pricing Policies and the Impact on Patients, Governments and the Sustainability of the Generic Medicines Industry

2009 ◽  
Vol 6 (4) ◽  
pp. 351-361 ◽  
Author(s):  
Hugo Carradinha
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Pharmaceutical Products ◽  
Care Quality ◽  
Generic Medicines ◽  
Short Term ◽  
Quality Health Care ◽  
Patient Health ◽  
Quality Health ◽  
The Impact

The provision of affordable, high-quality health care is a political priority in Europe, and expenditure on pharmaceutical products is an important component of total health-care costs. The search by governments and health insurers to reduce health-care budgets has shown the importance of generic medicines, which are acquiring greater relevance. Generic medicines signify clear long-term savings to national health-care budgets.1 In this context, generic medicines are an essential part of the equation to the sustainability of the EU health-care system. Although the short-term results and price-cutting policies are only recent additions to the retail pharmaceutical market, the latest evidence shows that tendering and similar procurement systems play a negative role in patient health-care quality, government budgets and generic medicines industry sustainability and the capacity to continue to supply affordable prices.

scholarly journals Quality of health care in Nigeria: a myth or a reality

2018 ◽  
Vol 6 (9) ◽  
pp. 2875
Author(s):  
Benson Chukwunweike Ephraim-Emmanuel ◽  
Adetutu Adigwe ◽  
Roland Oyeghe ◽  
Daprim S. T. Ogaji
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Quality ◽  
Care Delivery ◽  
Care Quality ◽  
Quality Systems ◽  
Quality Health Care ◽  
The Poor ◽  
Quality Health

The delivery of high quality health care is crucial to achieving enhanced health benefits, patient safety and a positive patient experience of health care. This article provides insight on the quality of the health care delivery in Nigeria and aim to uncover if quality health care in Nigeria is a reality or a myth. Relevant information was abstracted from included articles and used to provide both descriptive and analytical discourse on the subject. Discussions and reflections were carried out along an established quality framework of treatment effectiveness, acceptability, efficiency, the appropriateness of the means of delivery as well as equity. The slow pace of development of quality systems in health service delivery in Nigeria is evidenced by the poor quality of health services as well as the poor health status of the population. The pace of developing quality systems in health care delivery in Nigeria is unsatisfactory. There is a need to galvanise the efforts of relevant stakeholders including the patient in charting a new agenda for health care quality improvement in Nigeria.

Culture in Health Care Organizations

2016 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies
Keyword(s):  
Health Care ◽  
Culture Change ◽  
Health Care Quality ◽  
Health Care Policy ◽  
Health Care Organizations ◽  
Care Quality ◽  
Quality Health Care ◽  
Wide Range ◽  
Health Care Performance ◽  
Care Performance

Modern health care policy frequently invokes notions of cultural change as a key means of achieving performance improvement and good quality health care. This chapter aims to sharpen thinking around the theory and feasibility of culture change in health care contexts by setting out some of the key conceptual and practical challenges that need to be addressed by policy makers, health care managers, researchers, and by others seeking to understand, assess and change cultures in health care organizations. It begins by introducing some of the sources of ideas, conceptual underpinnings and key concerns with using organizational culture, before considering the evidence on the linkages between culture and health care performance and the wide range of models that have been used to understand culture change and the management of cultural diversity in health care organizations. The chapter closes by arguing that the diverse and contested nature of understanding about culture will necessarily mean that there will be diverse and contested ways of seeking to harness the power of culture to deliver the desired improvements in health care quality and performance. What is clear is attempting to enact culture change to improve health care performance is a difficult, uncertain and risky enterprise and may not always generate the anticipated outcomes. As in many other areas of management we are in need of a more secure evidence base that is underpinned by a more sophisticated understanding of these complex and dynamic organizational phenomena.

scholarly journals Internações por condições sensíveis à atenção primária decorrentes das doenças cardiovasculares

2021 ◽  
Vol 11 (33) ◽  
pp. 222-232
Author(s):  
Eliane Santos Cavalcante ◽  
Micael Pyerre Martins Duarte ◽  
Viviane Peixoto dos Santos Pennafort ◽  
Roberval Edson Pinheiro de Lima ◽  
Juliana Jales Menescal Pinto ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Cardiovascular Diseases ◽  
Health Care Quality ◽  
Secondary Data ◽  
Care Quality ◽  
University Hospital ◽  
Cross Sectional ◽  
Insuficiencia Cardiaca ◽  
Quality Health

Objetivou-se identificar as principais internações por Condições Sensíveis à Atenção Primária decorrente de Doença Cardiovascular em hospital público universitário. Estudo transversal, descritivo com dados secundários de internações ocorridas de agosto a dezembro de 2017. Das 1266 internações por Causa Sensível à Atenção Primária, as doenças cardiovasculares emergem com maior percentual (49,38%) dos diagnósticos, sendo as quatro principais causas que mais contribuíram para o total de internações: Infarto agudo do miocárdio não especificado (19,92%), Hipertensão essencial (primária) (10,37%), Angina instável (9,96%) e Insuficiência cardíaca (9,13%). Identificou-se predomínio em homens (55,92%), maiores de 60 anos (67,28%), com baixa escolaridade (24,17%), em sua maioria aposentados, casados (58,76%) e católicos. Os achados proporcionaram uma análise que aponta para a necessidade de qualificação dos serviços e dos sistemas de saúde, com ênfase nos territórios locais, considerando sua responsabilização para o desenvolvimento de ações e serviços no âmbito da Atenção Primária.Descritores: Doenças Cardiovasculares, Atenção Primária à Saúde, Hospitalização, Qualidade, Acesso e Avaliação da Assistência à Saúde. Hospitalizations for conditions sensitive to primary care due to cardiovascular diseasesAbstract: The objective was to identify the main hospitalizations for Conditions Sensitive to Primary Care resulting from Cardiovascular Disease in a public university hospital. A cross-sectional, descriptive study with secondary data on hospitalizations that took place from August to December 2017. Of the 1266 hospitalizations for a Cause Sensitive to Primary Care, cardiovascular diseases emerge with a higher percentage (49.38%) of the diagnoses, being the four main causes that contributed most to the total number of hospitalizations: Unspecified acute myocardial infarction (19.92%), Essential hypertension (primary) (10.37%), Unstable angina (9.96%) and Heart failure (9, 13%). There was a predominance of men (55.92%), older than 60 years (67.28%), with low education (24.17%), mostly retired, married (58.76%), and Catholics. The findings provide an analysis that points to the need for quality health services and systems, with an emphasis on local territories, considering their responsibility for the development of actions and services within the scope of Primary Care.Descriptors: Cardiovascular Diseases, Primary Health Care, Hospitalization, Health Care Quality, Access and Evaluation. Ingresos por afecciones sensibles a la atención primaria derivadas de enfermedades cardiovascularesResumen: El objetivo fue identificar las principales hospitalizaciones por afecciones sensibles a la atención primaria derivadas de la enfermedad cardiovascular en hospital universitario público. Estudio descriptivo transversal con datos secundarios sobre hospitalizaciones que tuvieron lugar de agosto a diciembre de 2017. De las 1266 hospitalizaciones por una causa sensible a la atención primaria, las enfermedades cardiovasculares surgen con un mayor porcentaje (49.38%) de los diagnósticos, siendo las cuatro causas principales que más contribuyeron al número total de hospitalizaciones: infarto agudo de miocardio no especificado (19,92%), hipertensión esencial (primaria) (10,37%), angina inestable (9,96%) e insuficiencia cardíaca (9, 13%). Predominaron los hombres (55,92%), mayores de 60 años (67,28%), con baja educación (24,17%), en su mayoría jubilados, casados (58,76%) y católicos. Los resultados proporcionan un análisis que señala la necesidad de calificar los servicios y sistemas de salud, con énfasis en los territorios locales, considerando su responsabilidad para el desarrollo de acciones y servicios dentro del alcance de la Atención Primaria.Descriptores: Enfermedades Cardiovasculares, Atención Primaria de Salud, Hospitalización, Calidad, Acceso y Evaluación de la Atención de Salud.

scholarly journals Status of Quality in Strategic Purchasing in the Health System: A Systematic Review

2020 ◽  
Vol 13 (3) ◽  
pp. 271-277
Author(s):  
Zahra Zarei ◽  
Somayeh Hesam ◽  
Shaghayegh Vahdat ◽  
Alireza Oliaei Manesh
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Health Care Quality ◽  
Care Delivery ◽  
Care Quality ◽  
Quality Health Care ◽  
Health Care Quality Assurance ◽  
Strategic Purchasing

Introducction. Strategic purchasing is an important component of financing in the health system. It can enhance productivity, justice, and accountability in the health care delivery in case of considering the quality. This study, which was conducted as a systematic review, was aimed at investigating the status of quality in five domains of strategic purchasing in the health system to answer what, for whom, from whom, how to buy, and how much to buy. Material and Methods: This study systematically reviewed the articles published in the databases of Web of Sciences (WOS), Scopus, PubMed, Medline via Ovid, Embase from 2000 to October 2019. The keywords used to search the databases included the following: Health Care Sector, Delivery of Health Care, Quality Assurance, Quality Improvement, and Strategic Purchasing. A total of 182 articles were selected and reviewed by four researchers. Articles with irrelevant content were excluded. Data of the selected articles were analyzed using the content analysis method. Results: Of the 182 articles collected through searching the selected databases, 16 articles were analyzed. Based on the results of this study, strategic purchasing in the health system results in the delivery of services with higher quality. Conclusion: Strategic purchasing can enhance the performance of the health system through choosing the most appropriate provider and the most appropriate payment method, along with equity in providing quality health care services.

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