Medical Quality Management

2010 ◽  
pp. 287-298
Author(s):  
Andrew Majka ◽  
Prathibha Varkey
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Improve Patient Care ◽  
System Response ◽  
Institute Of Medicine ◽  
The Public ◽  
Medical Quality ◽  
Improve Patient ◽  
Care System

The past 2 decades have seen unprecedented advances in medicine and technology. However, the health care system continues to perform far below acceptable levels for ensuring safety and addressing patient needs. The publication To Err Is Human: Building a Safer Health System from the Institute of Medicine galvanized health care system response and the public demand for change. Providers rely largely on paper tools, memory, and hard work to improve patient care. However, it is difficult to create reliable and sustained improvement in health care with use of traditional methods. Improvement often requires deliberate redesign of processes through human factors knowledge, as well as tools such as Lean and Six Sigma known to assist improvement. The clear ethical imperative to enhance the quality and safety of health care and meet external accreditation requirements and patient expectations calls providers to address quality of care issues.

Health Care Accessibility for Chronic Illness Management and End-of-Life Care: A View from Rural America

2011 ◽  
Vol 39 (2) ◽  
pp. 140-155 ◽  
Author(s):  
Kathryn E. Artnak ◽  
Richard M. McGraw ◽  
Vayden F. Stanley
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Census Bureau ◽  
Illness Management ◽  
Institute Of Medicine ◽  
Patient Centered ◽  
Older Americans ◽  
Healthcare Improvement ◽  
Care System

The Institute of Medicine (IOM) reporting on the quality of health care in America recommends six aims for achieving the health care system we could have. Together with the Institute for Healthcare Improvement (IHI) Triple Aim initiative, a framework has emerged to challenge providers, educators, and policymakers to remake the health care system according to specific objectives: to provide care that is safe, effective, patient-centered, timely, efficient, and equitable to more people at a price we can afford. Complicating this mission of better prevention and better care at a lower cost is a daunting demographic: January of 2011 marked the month and year that the first of the baby boomers turned 65. The U.S. Census Bureau in May 2010 projected the number of Americans of this age and over to reach 88 million by 2050, more than double the current figure of 40.2 million. Parekh and Barton forecast in stark detail what it will be like to address these burgeoning numbers of older Americans with comorbidities, including the fact that over 20% of the population currently experiences at least two chronic medical conditions.

Guidelines for Clinical Practice: What They are and Why They Count

1995 ◽  
Vol 23 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Kathleen N. Lohr
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care System ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Institute Of Medicine ◽  
Ethical Context ◽  
Work Done ◽  
Care System

Are clinical practice guidelines a means for improving the quality of health care? For saving money in the health care system? For solving the malpractice problem? For making the health care system work better for all? Or, are they a recipe for disaster? This overview sets out conceptual, definitional, and practical aspects of clinical practice guidelines as a broad framework for reflecting on the issue of what guidelines are and why they count. It draws mainly on work done since 1990 at the Institute of Medicine (IOM) and focuses on five questions. First, what are guidelines, and who develops them? Second, what criteria or principles should be used to create good guidelines? Third, what problems or pitfalls exist in developing and disseminating guidelines? Fourth, in what ways can guidelines help improve medical care, and in what ways will they not be as practical or useful, particularly with respect to quality of care? Finally, what ethical context might guide deliberations on this topic?

EMERGING CHALLENGE OF CORRUPTION IN HEALTH CARE SYSTEM

2018 ◽  
Vol 8 (1) ◽  
pp. 1-8
Author(s):  
Taha Nazir
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Current Knowledge ◽  
Scientific Information ◽  
Public Health Care ◽  
The Public ◽  
Business Entities ◽  
Care System

The corruption is the violence of granted authorities that destroys the basic rights. It has serious consequences on society, system and lives. It also has posed potential threats to the public health care system, complicated the situation and makes extremely difficult to control in rational manner. So, we need the anti-corruption experts to identify key priority areas. They should undertake the corrective measures immediately to defeat the global health corruption. We collected the data from different professional, scientific and academic institution The research article and databases were searched from inception to get more relevant and current knowledge of this topic. The duplications deleted and titles or full texts were screened to obtain the exact professional and scientific information. Finally inferred that the corruption is an emerging global problem and potential threatening the health care system. The hug employment, large financial budget and interactions of multiple business entities provide sufficient opportunities of corruption. So the corruption is metaphorically hurting the quality of life. Therefore, we should perceive its empirical existence to verify theoretical and intuitive significance for public health. Moreover, the recently developed new paradigms may help to determine the severity of corrupt acts to reveal the likelihood of engagement and develop more effective strategy to mitigate all forms of corruption in health care system.

Assisting People With Their Living, Not Their Dying: Health Professionals’ Perspectives of Palliative Care and Opioids in ILD

2021 ◽  
pp. 104990912110186
Author(s):  
Lauren Russo ◽  
Karen Willis ◽  
Natasha Smallwood
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Therapeutic Relationships ◽  
Specialist Palliative Care ◽  
Cross Sectional ◽  
Symptom Palliation ◽  
Care System

Objectives: Interstitial lung disease (ILD) is a debilitating and life-limiting condition, requiring multi-disciplinary care. While guidelines recommend early specialist palliative care referral to improve symptoms and quality of life, few patients access such care towards the end-of-life. This study aimed to explore clinicians’ perspectives regarding specialist palliative care and opioids to understand barriers to optimal care and guide clinical practice improvement initiatives. Methods: A cross-sectional, exploratory, qualitative study was undertaken with Australian respiratory clinicians caring for people with ILD (n = 17). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim and coded. Thematic analysis was undertaken to extrapolate recurring ideas from the data. Results: Four themes were identified: 1) understanding how to improve patient care and support, 2) the need to dispel stigmatized beliefs and misconceptions, 3) the importance of trusted relationships and good communication and 4) the challenges of navigating the health-care system. Participants discussed the need to implement early specialist palliative care and symptom palliation to alleviate symptoms, provide emotional support and augment quality of life. Participants described challenges accessing palliative care and opioids due to stigmatized beliefs amongst patients and clinicians and difficulties navigating the health-care system. Trusted therapeutic relationships with patients and strong inter-disciplinary partnerships with collaborative education and communication were perceived to improve patients’ access to symptom palliation. Conclusion: Specialist palliative care and opioids were believed to improve patients’ quality of life, however, many barriers can make accessing such care challenging. To address these issues, multi-disciplinary collaboration, high-quality communication and trusted therapeutic relationships are crucial throughout the ILD illness journey.

Equity in the use of antiretroviral treatment in the public health care system in urban South Africa

Health Policy ◽  
2011 ◽  
Vol 99 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Susan Cleary ◽  
Sheetal Silal ◽  
Stephen Birch ◽  
Henri Carrara ◽  
Victoria Pillay-van Wyk ◽  
...  
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Health Care System ◽  
Antiretroviral Treatment ◽  
Public Health Care ◽  
Public Health Care System ◽  
The Public ◽  
Urban South ◽  
Care System

The role of transformative healthcare technology on quality of life during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Health Care System ◽  
Service System ◽  
Content Type ◽  
Care System

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.

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