scholarly journals Multi-stakeholder perspectives in defining health services quality indicators and dimensions: a concept mapping based comparison for cataract care between Singapore and The Netherlands

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e046226
Author(s):  
Aline Stolk-Vos ◽  
Dirk De Korne ◽  
Ecosse Lamoureux ◽  
Charity Wai ◽  
Jan JV Busschbach ◽  
...  
Keyword(s):  
Health Services ◽  
The Netherlands ◽  
Concept Mapping ◽  
Services Quality ◽  
Standards Of Care ◽  
Care Providers ◽  
Quality Dimensions ◽  
Multi Stakeholder ◽  
Country Specific

ObjectiveThis study aims to advance understanding of globally valid versus country-specific quality dimensions and indicators, as perceived by relevant stakeholders. It specifically addresses patient-level indicators for cataract surgery.DesignA mixed-methods case study comparing Singapore and The NetherlandsSettingSingapore (2017–2019) and The Netherlands (2014–2015).ParticipantsStakeholder representatives of cataract care in Singapore and The Netherlands.InterventionBased on the previously identified complete set of stakeholders in The Netherlands, we identified stakeholders of cataract care in Singapore. Stakeholder representatives then established a multi-stakeholder perspective on the quality of cataract care using a concept mapping approach. This yielded a multidimensional cluster map based on multivariate statistical analyses. Consensus-based quality dimensions were subsequently defined during a plenary session. Thereafter, Singaporean dimensions were matched with dimensions obtained in The Netherlands to identify commonalities and differences.Main outcome measureHealth-services quality dimensions of cataract care.Results19 Singaporean stakeholders representing patients, general practitioners, ophthalmologists, nurses, care providers, researchers and clinical auditors defined health-services quality of cataract care using the following eight dimensions: clinical outcome, patient outcomes, surgical process, surgical safety, patient experience, access, cost and standards of care. Compared with the Dutch results, 61% of the indicators were allocated to dimensions of comparable names and compositions. Considerable differences also existed in the composition of some dimensions and the importance attached to indicators.Conclusions and relevanceThis study on cataract care in Singapore and The Netherlands shows that cataract care quality measurement instruments can share a common international core. At the same time, it emphasises the importance of taking a country-specific multi-stakeholder approach to quality definition and measurement. Complementing an international core set with country-specific measures is required to ensure that the included dimensions and indicators adequately capture the country-specific quality views.

Quality

2020 ◽  
pp. 166-183
Author(s):  
Julie Sin
Keyword(s):  
Health Services ◽  
Health System ◽  
Services Quality ◽  
Quality Care ◽  
System Level ◽  
Quality Of Services ◽  
Provider Perspective ◽  
Multidimensional Concept

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.

scholarly journals Multi-stakeholder perspectives in defining health-services quality in cataract care

2017 ◽  
Vol 29 (4) ◽  
pp. 470-476 ◽  
Author(s):  
Aline C. Stolk-Vos ◽  
Joris J. van de Klundert ◽  
Niels Maijers ◽  
Bart L.M. Zijlmans ◽  
Jan J.V. Busschbach
Keyword(s):  
Health Services ◽  
Services Quality ◽  
Stakeholder Perspectives ◽  
Multi Stakeholder

scholarly journals Adolescent Friendly Services: quality assessment with simulated users

2020 ◽  
Vol 54 ◽  
pp. 36
Author(s):  
Rosalila Pastrana-Sámano ◽  
Ileana Beatriz Heredia-Pi ◽  
Marisela Olvera-García ◽  
Midiam Ibáñez-Cuevas ◽  
Filipa De Castro ◽  
...  
Keyword(s):  
Health Services ◽  
Services Quality ◽  
Qualitative Assessment ◽  
Care Process ◽  
Exit Interviews ◽  
Barriers To Access ◽  
Adolescent Friendly Health Services ◽  
Nominal Groups ◽  
Privacy And Confidentiality

OBJECTIVE: To assess the quality of adolescent friendly health services. METHODS: Qualitative assessment using the simulated user technique in first level clinics of Health Services of Morelos, Mexico, during 2018. Ten out of 17 facilities with non-exclusive adolescent friendly services were randomly selected. An additional facility with exclusive adolescent friendly services was included as an intensive subsample. Four adolescents served as simulated users interpreting different cases in the clinics. The total of 43 semi-structured exit interviews were conducted, and two nominal groups were made to assess the perceived quality from the adolescents’ perception of friendliness and experience. Thematic analysis of the data obtained was performed. RESULTS: Staff attitude was highlighted as a key element in the adolescents’ experience. Failures were found, such as the existence of bureaucratic barriers to access, lack of signage in clinics, lack of privacy and confidentiality, failure of physical examination during the appointment and lack of monitoring of the reasons for appointment. The exclusive clinic for adolescents offered more appropriate friendly services compared with nonexclusive clinics. CONCLUSION: Although the service is accessible in most of the clinics visited, it is still far from being friendly according to international recommendations. The exclusive clinic for adolescents stood out for having better structured mechanisms that can be implemented in nonexclusive clinics to improve the care process.

Providing Inclusive Care for Transgender Patients: Capturing Sex and Gender in the Electronic Medical Record

2020 ◽  
Author(s):  
Khushbu Patel ◽  
Martha E Lyon ◽  
Hung S Luu
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Standards Of Care ◽  
Sex And Gender ◽  
Care Providers ◽  
Care Environment ◽  
Gender Nonconforming ◽  
Gender Information ◽  
And Gender

Abstract Background Providing a positive patient experience for transgender individuals includes making the best care decisions and providing an inclusive care environment in which individuals are welcomed and respected. Over the past decades, introduction of electronic medical record (EMR) systems into healthcare has improved quality of care and patient outcomes through improved communications among care providers and patients and reduced medical errors. Promoting the highest standards of care for the transgender populations requires collecting and documenting detailed information about patient identity, including sex and gender information in both the EMR and laboratory information system (LIS). Content As EMR systems are beginning to incorporate sex and gender information to accommodate transgender and gender nonconforming patients, it is important for clinical laboratories to understand the importance and complexity of this endeavor. In this review, we highlight the current progress and gaps in EMR/LIS to capture relevant sex and gender information. Summary Many EMR and LIS systems have the capability to capture sexual orientation and gender identity (SOGI). Fully integrating SOGI into medical records can be challenging, but is very much needed to provide inclusive care for transgender individuals.

scholarly journals Health Budgeting at Woreda level and Effect on Access and Quality of Health Services in Somali Region of Ethiopia

2021 ◽  
Vol 9 (1) ◽  
pp. 118-126
Author(s):  
Oladeji Olusola
Keyword(s):  
Health Care ◽  
Health Services ◽  
Active Participation ◽  
Regional Level ◽  
Great Effort ◽  
Care Providers ◽  
Major Barrier ◽  
Somali Region ◽  
Budgeting Process

Ethiopia has made a great effort in recent years to improve maternal, newborn, child health outcomes, however, the uptake of services in Somali Region of the country is still very low. The study was a cross-sectional descriptive survey using qualitative methods, and the participants were key individuals involved in the management of health systems and knowledgeable about on health service delivery in the study sites. The study aimed to explore the budgeting process at the woreda (district) level and its effect on the utilization of equitable quality health services in the region. The woreda health officers determined what is included in the budget of the health facilities without active participation of stakeholders such as health care providers or the community members. Their knowledge and understanding of the planning and budgeting processes varied and little or no support available to them. This suboptimal budgeting process impacts negatively on the quality of health care services being provided, with shortages of essential drugs identified as a major barrier affecting utilization. The need for better budgeting process at the woreda level which could perhaps involve a range of regional level, woreda level and citizen level measures and active participation. This include the implementation of clearer guidelines from regional level, maybe the introduction of standard formulae that ensures that each health centre receives certain percent of overall health budget and specific percentage to be allocated for drugs and supplies and other essential services instead of each woreda official deciding on how much is to allocated arbitrarily.

scholarly journals Rationale and design of a complex intervention measuring the impact and processes of social accountability applied to contraceptive programming: CaPSAI Project

2020 ◽  
Vol 4 ◽  
pp. 26 ◽  
Author(s):  
Petrus S Steyn ◽  
Victoria Boydell ◽  
Joanna Paula Cordero ◽  
Heather McMullen ◽  
Ndema Habib ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Contextual Factors ◽  
Social Accountability ◽  
Control Group ◽  
Service Users ◽  
Care Providers ◽  
The Impact

Background: There are numerous barriers leading to a high unmet need for family planning and contraceptives (FP/C).  These include limited knowledge and information, poor access to quality services, structural inefficiencies in service provision and inadequately trained and supervised health professionals. Recently, social accountability programs have shown promising results in addressing barriers to accessing sexual and reproductive health services. As a highly complex participatory process with multiple and interrelated components, steps and actors, studying social accountability poses methodological challenges. The Community and Provider driven Social Accountability Intervention (CaPSAI) Project study protocol was developed to measure the impact of a social accountability process on contraceptive uptake and use and to understand the mechanisms and contextual factors that influence and generate these effects (with emphasis on health services actors and community members). Methods: CaPSAI Project is implementing a social accountability intervention where service users and providers assess the quality of local FP/C services and jointly identify ways to improve the delivery and quality of such services. In the project, a quasi-experimental study utilizing an interrupted time series design with a control group is conducted in eight intervention and eight control facilities in each study country, which are Ghana and Tanzania. A cross-sectional survey of service users and health care providers is used to measure social accountability outcomes, and a cohort of women who are new users of FP/C is followed up after the completion of the intervention to measure contraceptive use and continuation. The process evaluation utilizes a range of methods and data sources to enable a fuller description of how the findings were produced. Conclusion: This complex study design could provide researchers and implementers with the means to better measure and understand the mechanisms and contextual factors that influence social accountability processes in reproductive health, adding important findings to the evidence base.

scholarly journals RELATIONSHIP BETWEEN SHARIA-BASED NURSING SERVICES AND PATIENT LOYALITY AT ISLAMIC HOSPITAL

2018 ◽  
Vol 4 (2) ◽  
pp. 109
Author(s):  
Dyah Wiji Puspita Sari ◽  
Muhammad Abdurrouf ◽  
Rismawati Rismawati
Keyword(s):  
Health Services ◽  
Health Care Providers ◽  
Sampling Technique ◽  
Good Health ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Nursing Services ◽  
Patient Loyalty

Introduction: Sharia labeled hospitals have more responsibility in providing health services to patients. This challenge requires health care providers to compete by improving the quality of services so that patient loyalty is formed. The purpose of this study was to identify the relationship between sharia-based nursing services and patient loyalty in Semarang Hospital. Methodology: This research is a quantitative type with a cross sectional approach. Data collection using a questionnaire with the number of respondents 105 patients with total sampling technique. Results: the characteristics of respondents mostly consisted of age 36-45 (24.8%), last education elementary school 69 people (65.7%), length of stay that is 4 days a number of 35 people (33.3%), there is a relationship between services sharia-based nursing with patient loyalty at RSISA Semarang with pvalue 0.002 (p-value <0.05) with an R value (0.305). Discussion: This study can be used as a reference in improving good health services by implementing services in accordance with sharia principles so that patient loyalty is achieved.

scholarly journals Aspek Penting Akreditasi Puskesmas dalam Mendukung Implementasi Jaminan Kesehatan Nasional

2018 ◽  
pp. 10-16
Author(s):  
Misnaniarti Misnaniarti ◽  
Putri Kemala Destari
Keyword(s):  
Risk Management ◽  
Quality Improvement ◽  
Patient Satisfaction ◽  
Health Services ◽  
Literature Review ◽  
Performance Improvement ◽  
Services Quality ◽  
Policy Study ◽  
Self Assessment

Abstrak Puskesmas memegang peran yang sangat penting dalam penyelenggaraan pelayanan kesehatan di Indonesia. Puskesmas dituntut untuk dapat menjamin perbaikan mutu, peningkatan kinerja dan penerapan manajemen risiko yang dilaksanakan secara berkesinambungan, sehingga perlu dilakukan penilaian melalui mekanisme akreditasi. Tujuan penulisan makalah ini adalah untuk mengkaji aspek penting penyelenggaraan akreditasi Puskesmas dalam mendukung implementasi Jaminan Kesehatan Nasional (JKN). Makalah ini merupakan studi kebijakan menggunakan literature review. Informasi diambil dari berbagai sumber terdiri dari kebijakan, pedoman dan hasil penelitian terkait akreditasi Puskesmas. Berdasarkan kajian diketahui bahwa Puskesmas wajib untuk diakreditasi secara berkala paling sedikit tiga tahun sekali, sebagai salah satu syarat fasilitas kesehatan tingkat pertama di JKN. Akreditasi dilakukan melalui tahap survei akreditasi dan penetapan akreditasi. Puskemas melakukan persiapan sebelumnya antara lain menyiapkan dokumen eksternal dan internal, termasuk melakukan studi banding untuk persiapan akreditasi. Persiapan lainnya adalah melakukan pendampingan dan Self Assessment. Pelaksanaan akreditasi di Puskesmas merupakan aspek penting dalam mendukung implementasi JKN sekaligus merupakan upaya meningkatkan kualitas layanan Puskesmas. Rekomendasi bagi Puskesmas untuk dapat melakukan persiapan secara konprehensif sebelum menyelenggarakan penilaian akreditasi. Pelayanan kesehatan yang dilakukan sesuai arah panduan akreditasi secara konsisten dan berkelanjutan, pada akhirnya dapat meningkatkan kualitas pelayanan dan kepuasan pasien secara berkesinambungan. Kata Kunci: Akreditasi, Kredensialing, Mutu, Puskesmas. Abstract Puskesmas have an important role in the implementation of health services in Indonesia. Puskesmas are required to guarantee the quality improvement, performance improvement and implementation of risk management are carried out sustainably, so it needs to be assessed through accreditation mechanism. The purpose of this paper is to review the important aspects of the implementation of Puskesmas accreditation in supporting the implementation of the National Health Insurance (JKN). This is a policy study using literature review. Information taken from various sources consists of policies, guidelines and research results related to Puskesmas accreditation. Based on this study known that Puskesmas are obliged to be accredited periodically at least every three years, requirements as First Level Health Facilities. Accreditation done through several stages such as accreditation survey and accreditation decision. Previously Puskemas do the preparation consist of preparing external and internal documents, including conducting comparative studies for preparation of accreditation. Other preparation are accompaniment and Self Assessment. Implementation of accreditation in Puskesmas are an important aspect in supporting the implementation of JKN as well as an effort to improve the services quality of Puskesmas. Recommendation for Puskesmas to do preparation comprehensively before implementation accreditation assessment. Health services that implementation based on the accreditation guidelines consistently and continuously, finally can improve the quality of service and patient satisfaction on sustainably. Keywords: neonatal, emergency, hospital, referal system

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