The Real Motivation Behind Quality Health Care Delivery

2011 ◽  
Vol 33 (1) ◽  
pp. 9
Author(s):  
Michael Leedom
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Quality Health Care ◽  
The Real ◽  
Quality Health

scholarly journals THE EMINENT THREATS OF COUNTERFEIT DRUGS TO QUALITY HEALTH CARE DELIVERY IN AFRICA: UPDATES ON CONSEQUENCES AND WAY FORWARD

2017 ◽  
Vol 10 (7) ◽  
pp. 63 ◽  
Author(s):  
Nafiu Aminu ◽  
Mahmud Sani Gwarzo
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Counterfeit Drugs ◽  
African Countries ◽  
Quality Health Care ◽  
Drug Companies ◽  
Drug Policies ◽  
Quality Health ◽  
The Impact

Counterfeit drugs (CDs) continue to cause serious public health problems in many countries around the globe, particularly in the African countries which are their major consumers. Soft penalties for the drug counterfeiters; recent increase in internet commerce; ignorance and lack of effective partnership between drug companies, drug regulatory agencies, law enforcement bodies, customs, among others, have contributed to the rise in counterfeiting menace. However, governments at various levels in some of the affected countries do not accede to the menace of CDs, as they are implementing many strategies through the recent innovations and advancement in technology to curtail it. Nevertheless, there is still needs for taking more rigorous steps to achieve complete eradication of the crime. This review article presented the impact of CDs in the Africa’s quality health-care delivery, with particular attention to the causes, magnitude, and consequences. The review also identifies areas where concerted drug policies and actions are required to eradicate the drug counterfeiting crimes and also provides suggestions to drug’s policymakers and relevant stakeholders that may be useful in making decisions that can safeguard the public from the danger of CDs.

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.

Problems with health care delivery

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Medical Model ◽  
Macro Level ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Quality Health ◽  
Health Need

Earlier chapters have highlighted the influence the medical model of health has had on both the philosophy of health care and the structures devised to deliver health care including dental care. The overriding influences of the medical model are the downstream focus on treatment of disease and the communication gap caused by differing concepts of health and need held by lay people and health professionals. Problems with health care delivery operate at a macro level (i.e. overall policy for and structure of health care) and at a micro level (how health care is delivered, one-to-one communication, and interaction with the patient and members of the dental team). Chapter 18 has described some of the specific problems with health care at the macro level. In this chapter we shall also look at some of the problems with how health care is delivered and problems with health services at the level of the user and the provider of health care. What should good health care look like? Maxwell (1984) defined six characteristics of a high-quality health care. Services should to be equitable (fair), accessible, relevant to health care needs, effective, efficient, and socially acceptable. There are recognized inequities in how health care is distributed; urban areas are often better provided for compared to rural areas, and hospital-based health care consumes more resources than community-based care. Not everyone has equal access to health care; for example, people living in deprived communities with greater health need have fewer doctors and dentists compared to richer areas with fewer health care needs. This phenomenon has been described as the inverse care law (Tudor Hart 1971). Uncomfortable choices and rationing have to take place in allocating health care resources. Ideally, these decisions should be based on the greatest health need (and the capacity to benefit) rather than who has the loudest voice. The focus on treatment inherent in the medical model of health means that resources are spent on high-technology medicine and hospitals, while programmes to prevent disease are poorly supported and resourced. There is an expectation that there will be a magic bullet for every health problem, yet most chronic diseases have no cure. People learn to adapt and cope with their chronic illness rather than recover.

scholarly journals The potential role of patent and proprietary medicine vendors’ associations in improving the quality of services in Nigeria’s drug shops

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abisoye S. Oyeyemi ◽  
Oladimeji Oladepo ◽  
Adedayo O. Adeyemi ◽  
Musibau A. Titiloye ◽  
Sarah M. Burnett ◽  
...  
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Good Practice ◽  
Regulatory Agencies ◽  
Regulatory Environment ◽  
Quality Health Care ◽  
Main Challenge ◽  
Drug Shops ◽  
Quality Health ◽  
Basic Quality

Abstract Background Patent and Proprietary Medicine Vendors (PPMVs) play a major role in Nigeria’s health care delivery but regulation and monitoring of their practice needs appreciable improvement to ensure they deliver quality services. Most PPMVs belong to associations which may be useful in improving their regulation. However, little is known about how the PPMV associations function and how they can partner with relevant regulatory agencies to ensure members’ compliance and observance of good practice. This study sought to describe the PPMV associations’ structure and operations and the regulatory environment in which PPMVs function. With this information we explore ways in which the associations could help improve the coverage of Nigeria’s population with basic quality health care services. Methods A mixed methods study was conducted across four rural local government areas (LGAs) (districts) in two Nigerian states of Bayelsa and Oyo. The study comprises a quantitative data collection of 160 randomly selected PPMVs and their shops, eight PPMV focus group discussions, in-depth interviews with 26 PPMV association executives and eight regulatory agency representatives overseeing PPMVs’ practice. Results The majority of the PPMVs in the four LGAs belonged to the local chapters of National Association of Patent and Proprietary Medicine Dealers (NAPPMED). The associations were led by executive members and had regular monthly meetings. NAPPMED monitored members’ activities, provided professional and social support, and offered protection from regulatory agencies. More than 80% of PPMVs received at least one monitoring visit in the previous 6 months and local NAPPMED was the organization that monitored PPMVs the most, having visited 68.8% of respondents. The three major regulators, who reached 30.0–36.3% of PPMVs reported lack of human and financial resources as the main challenge they faced in regulation. Conclusions Quality services at drug shops would benefit from stronger monitoring and regulation. The PPMV associations already play a role in monitoring their members. Regulatory agencies and other organizations could partner with the PPMV associations to strengthen the regulatory environment and expand access to basic quality health services at PPMV shops in Nigeria.

scholarly journals Teleophthalmology: A Model for Eye Care Delivery in Rural and Underserved Areas of India

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Vijayaraghavan Prathiba ◽  
Mohan Rema
Keyword(s):  
Health Care ◽  
Local Community ◽  
Care Delivery ◽  
National Level ◽  
Community Outreach ◽  
Community Empowerment ◽  
Eye Care ◽  
Quality Health Care ◽  
Related Data ◽  
Quality Health

Objectives. To describe the application of teleophthalmology in rural and underserved areas of India. Study Design. This paper describes the major teleophthalmology projects in India and its benefits. Results. Teleophthalmology is the use of telecommunication for electronic transfer of health-related data from rural and underserved areas of India to specialities in urban cities. The MDRF/WDF Rural Diabetes Project has proved to be very beneficial for improvement of quality health care in Tamilnadu and can be replicated at the national level. This community outreach programme using telemedicine facilities has increased awareness of eye diseases, improved access to specialized health care, helped in local community empowerment, and provided employment opportunities. Early detection of sight threatening disorders by teleophthalmology and prompt treatment can help decrease visual impairment. Conclusion. Teleophthalmology can be a very effective model for improving eye care delivery system in rural and underserved areas of India.

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