scholarly journals Quality health care in extreme adversity—an action framework

2019 ◽  
Author(s):  
Sheila Leatherman ◽  
Linda Tawfik ◽  
Dilshad Jaff ◽  
Grace Jaworski ◽  
Matthew Neilson ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Care ◽  
Poor Quality ◽  
Lessons Learned ◽  
Initial Assessment ◽  
Quality And Safety ◽  
Quality Health Care ◽  
Quality Health ◽  
Care Costs ◽  
Poor Quality Care

Abstract Quality problem or issue There are record-setting numbers of people living in settings of extreme adversity and they continue to increase each year. Initial assessment There is a paucity of validated data on quality and safety across settings of extreme adversity. Choice of solution This paper argues for an action framework to address the unique challenges of providing quality in extreme adversity. Implementation We describe a preliminary Quality in Extreme Adversity framework which has been informed by—and will continue to be validated through—literature, data collection, WHO expert consultations and through working in settings of extreme adversity with national authorities and NGOs. Lessons learned Poor quality care costs lives, livelihoods and trust in health services. The recommended framework, based on evidence and experiential lessons, intends to address the WHO goal for 2019–2023 of ‘one billion people better protected from health emergencies’ (9).

scholarly journals Oranges are not the only fruit:the role of emergency departments in providing care to primary care patients

2000 ◽  
Vol 23 (3) ◽  
pp. 132 ◽  
Author(s):  
Patrick Bolton ◽  
Michael Mira ◽  
Arn Sprogis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Quality Care ◽  
Poor Quality ◽  
Specialist Care ◽  
High Quality ◽  
Quality Health Care ◽  
Full Spectrum ◽  
Care Services ◽  
Quality Health

Effective and integrated primary health care services are seen world wide as the lynch pin of an equitable,efficient and high quality health care. Health services dominated by specialist care suffer either fromuncontainable costs (USA with 14% of GDP) or poor quality care (Russia and other former members of theSoviet bloc). Ierachi et al. (2000) argue that Australia should take the retrograde step of endorsing a servicewhich aims to "provide rapid, high quality and continuously accessible unscheduled care, for conditions coveringthe full spectrum of acute illness and injury" (emphasis added). They aim to provide care "for conditions", notfor people. General practice provides care for people, not just diseases or injuries.

Universal Health Coverage

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Poor Quality ◽  
Theory And Practice ◽  
Health Coverage ◽  
Quality Health Care ◽  
The Sustainable Development ◽  
Quality Health ◽  
The Right ◽  
Universal Health

This chapter explores the seminal topic of Universal Health Coverage (UHC), an objective within the Sustainable Development goals. It reviews the theory and definitions that shape the current conversation on UHC. The movement from selective primary health care to UHC demonstrates a global commitment to the progressive realization of the right to health. However, access to UHC is limited by barriers to care, inadequate provision of care, and poor-quality services. To deliver UHC, it is critical to align inputs in the health system with the burden of disease. Quality of care must also be improved. Steady, sufficient financing is needed to achieve the laudable goal of UHC.This chapter highlights some important steps taken by countries to expand access to quality health care. Finally, the chapter investigates the theory and practice behind a morbidity-based approach to strengthening health systems and achieving UHC.

Improving quality of care in conflict settings: access and infrastructure are fundamental

2019 ◽  
Vol 31 (10) ◽  
pp. G187-G190
Author(s):  
Dilshad Jaff ◽  
Sheila Leatherman ◽  
Linda Tawfik
Keyword(s):  
Quality Of Care ◽  
Health Care Services ◽  
Quality Care ◽  
Evidence Base ◽  
Lessons Learned ◽  
Armed Conflicts ◽  
Initial Assessment ◽  
Quality Health Care ◽  
Basic Infrastructure

Abstract Quality problem or issue Armed conflicts pose significant challenges to ensuring timely access to quality health care services for millions around the world. Initial assessment Ensuring access and basic infrastructure for conflict-affected populations are overlooked in the global movement to provide quality of care. Choice of solution This paper identifies strategies and interventions to improve access to good quality care in settings and communities afflicted by conflict. Lessons learned t is crucial to focus more attention on, and develop an evidence base for, ensuring access and basic infrastructure to improve quality of care in conflict-affected regions.

scholarly journals Student Perceptions of Quality and Safety Competencies

2015 ◽  
Vol 12 (1) ◽  
pp. 155-161 ◽  
Author(s):  
Heidi A. Mennenga ◽  
Lois Tschetter ◽  
Lily Sanjaya
Keyword(s):  
Health Care ◽  
Student Perceptions ◽  
Student Evaluation ◽  
Nursing Program ◽  
Quality And Safety ◽  
Safety Education ◽  
Quality Health Care ◽  
National Quality ◽  
Quality Health ◽  
Senior Students

AbstractAim/Purpose: The purpose of the study was to evaluate senior students’ level of preparedness to perform and perceived importance of 22 QSEN-related skills over a three year project period.Background: The national Quality and Safety Education in Nursing (QSEN) project promotes student learning in the provision of safe, quality health care. One Midwestern nursing program attempted to address health care challenges by purposefully utilizing the QSEN competencies for curricular changes.Methods: This study collected data from students in their final semester of a baccalaureate program using the QSEN Student Evaluation Survey.Results/Findings: Students reported they were somewhat prepared to perform skills related to all six QSEN competencies. Students perceived all QSEN related skills as being as least somewhat important.Conclusions: As a result of this study, the nursing program identified areas to be developed for further growth and utilized findings to aid in curriculum revision.

Workers' compensation: Poor quality health care and the growing disability problem in the United States

2014 ◽  
Vol 58 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Gary M. Franklin ◽  
Thomas M. Wickizer ◽  
Norma B. Coe ◽  
Deborah Fulton-Kehoe
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Poor Quality ◽  
Workers Compensation ◽  
Quality Health Care ◽  
Quality Health

scholarly journals Quality health care in Indian setup: an ear, nose, throat outpatient department-based approach for quality health care indicators

2020 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Himanshu Joshi ◽  
Satyanjaya Sahoo ◽  
Vikas Kumar
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Care ◽  
Outpatient Department ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Quality Health Care ◽  
Hard Times ◽  
Quality Health ◽  
Health Care Indicators

<p><strong>Background:</strong> In this era doctor patient relationship facing hard times, especially in Indian setup. It is immensely evident in form of increasing lawsuits and violence against doctors. This brings patient centred approach with patient satisfaction into picture and further leads to concepts of quality health care. There is raised attention on enhancing the quality of life through the quality council of India. Here is an attempt to look for any causal association with the help of some routine indicators which if modified can lead to better state of doctor patient relationship.</p><p><strong>Methods:</strong> This study has taken patient satisfaction into consideration with the help of quality care parameters at ear, nose, throat (ENT), outpatient department in Indian setup. These indicators are based on parameters divided into hospital domain and doctor domain and each parameter is graded on 5-point Likert scale.</p><p><strong>Results: </strong>Score under doctor domain are significantly high statistically. Examination and communication by doctor (domain) are the parameters which scored the most. Under hospital domain the highest preference by patients in terms of score was given to hygiene and sanitation of hospital.</p><p><strong>Conclusions:</strong> Quality health care is multifactorial and parameters under hospital domain and doctor domain are interdependent to much extent. It has been concluded statistically that examination and communication by doctor derives a better sense of trust and doctor patient relationship significantly.</p>

scholarly journals Benchmarking in health care: A review of the literature

1997 ◽  
Vol 20 (4) ◽  
pp. 60 ◽  
Author(s):  
Isabel Higgins
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Costs ◽  
Care Service ◽  
Health Care Service ◽  
Review Of The Literature ◽  
Quality Health Care ◽  
Quality Health ◽  
Care Costs

This paper provides a review of the 10 significant publications related tobenchmarking in health care. The discussion which follows is presented according tofour headings: what the study did, how the study was conducted, what was learntfrom the experience, and what the implications were for health care generally. Thefindings of this review are reassuring in that all studies provided valuable information,in terms of clinical practice and the health care service or the benchmarking process.They highlight the importance of the maintenance of quality health care, thereduction of health care costs and the need for improved efficiency and effectivenessin providing health care.

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