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.

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.

Managed care Medicaid

2017 ◽  
Vol 11 (2) ◽  
pp. 198-210 ◽  
Author(s):  
William Trombetta
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Care Quality ◽  
Market Segment ◽  
Economic Aspects ◽  
Content Type ◽  
The Poor

Purpose Providing health care to the poor is evolving in the new US marketplace. The Affordable Care Act has set goals enhancing access to health care, lowering costs and improving patient outcomes. A key segment in this evolution is the most vulnerable health-care population of all: Medicaid. This paper aims to provide a general review of how providing health care to Medicaid patients is changing including how socio-economic aspects of this vulnerable population affects the quality of the health care provided. Design/methodology/approach The paper is entirely secondary research; no primary research has been conducted. Findings Managed care Medicaid provides a risk-based model to treating a vulnerable health-care market segment. The jury is still out on whether managed care Medicaid (MCM) is improving health-care quality and saving cost, but the provision of health care to the Medicaid segment is definitely shifting from a fee-for-service model to value based payment. Very recent developments of new health-care delivery approaches present a positive outlook for improving quality and containing costs going forward. Research limitations/implications At this stage, whether or not MCM saves money or provides better health-care quality to this vulnerable population is a work in progress. Health-care marketing can impact socio-economic aspects of health care for the poor. There is a need to follow up on the positive results being documented in demonstration health-care delivery models. Practical implications At this point, there has been no long-term study of whether managed care Medicaid offers better quality of health care and cost savings. The research to date suggest that the quality of health-care delivery to the poor is improving at a lower cost to payers. Social implications Medicaid patients are an underserved market segment. Managed care Medicaid offers a new model that has the potential to provide quality care at acceptable cost. Critical to this vulnerable market segment is the need to integrate socio-economic aspects of the population with the delivery of health care. Originality/value There has been very little discussion of Medicaid overall in the marketing literature, much less any discussion of managed care Medicaid.

Incidence of Complicated Appendicitis as a Metric of Health Care Delivery

2020 ◽  
pp. 000313482095376
Author(s):  
Fawaz Araim ◽  
Artem Shmelev ◽  
Gopal C. Kowdley
Keyword(s):  
Health Care ◽  
Acute Appendicitis ◽  
Health Care Delivery ◽  
Health Care Quality ◽  
Care Delivery ◽  
State Level ◽  
Care Quality ◽  
Physician Density ◽  
Multivariable Logistic Regression Model ◽  
Modifiable Factors

Background Complicated acute appendicitis (CAA) has been linked to extremes of age, racial and socioeconomic disparities, public insurance, and remote residency. CAA rate has been used from 2005 to 2018 as a health care quality metric, with the assumption that delay in treatment was a main cause of perforation. We studied factors that could contribute to CAA focusing on modifiable factors which could be altered as part of a health care delivery system. Materials and Methods All primary admissions for acute appendicitis (AA) from the 2010 Nationwide Inpatient Sample were linked to 2010 state-level physician density data. CAA was distinguished by codes for perforation, generalized peritonitis, or intra-abdominal abscess. A multivariable logistic regression model for CAA prediction was built. Results A total of 288 556 patients were admitted with AA and 86 272 (29.9%) had CAA. Independent factors, linked to CAA, included age outside the 10-39 range (odds ratio (OR) = 2.1-2.4 and all P < .001), male gender (OR = 1.2), malnutrition (OR = 6.2), diabetes mellitus (OR = 2.1), chronic anemias (OR = 1.9), nonprivate insurances (OR 1.2-1.5), nonmetropolitan patient’s residence (OR = 1.15), and Midwest region (OR = 1.2). Patient income and physician coverage were not significant factors after adjustment for all other covariates. Highest CAA fraction of 39.6% was noted in rural patients admitted to urban teaching facilities. Discussion Although provider coverage at the state level may seem adequate and not related to increased CAA rates, the distance patients traveled for their definitive surgical care correlated with higher rates of CAA. Adjusting physician distribution into nonurban settings closer to patients could decrease rates of CAA by diminishing time to definitive care.

scholarly journals In patient satisfaction survey- how does it help our health care delivery system (the patient, the health care giver and the organization)?

2017 ◽  
Vol 4 (10) ◽  
pp. 3280
Author(s):  
Priti Prasad Shah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Delivery ◽  
Health Care Quality ◽  
Care Delivery ◽  
Healthcare Services ◽  
Care Quality ◽  
Survey Study ◽  
Satisfaction Survey ◽  
Patient Satisfaction Survey

Background: Patient satisfaction is a mean of measuring the effectiveness of health care delivery.    It can suggest proportion to the problem areas and a reference point to take management decisions. It can serve as a mean of holding physician accountable. Patient satisfaction data can be used to document health care quality for accrediting organizations and consumer groups. They can also measure specific initiative or changes in service delivery.  They can increase loyalty of patients by demonstrating you care their perceptions and looking for ways to improve. The purpose of our study is to carry out evaluation of hospital services by getting a patient satisfaction survey. Main aim is to identify potential problems in the services.Methods: A hospital based inpatient satisfaction survey study done on 200 patients. A Predesigned structured questionnaire was based on relevance of questions to healthcare services on various aspects of inpatient care.  The interviewer based questionnaires were filled after obtaining verbal informed consent from all subjects. 200 valid responses were analyzed using MS office excel. Data analysis of study is done using the SPSS (Statistical Package for the Social Science) Version 17 for window.Results: Results of our study is very positive and suggest that patients were satisfied with the attitude of doctors, nurses and paramedical staff and it was appreciated. As in D Y Patil Medical College and Hospital most facilities are free for the patients, so we got better feedback for the facilities and satisfaction for this study. Satisfied patients are more likely to continue using the health care services and maintain their relationship with specific health care providers.Conclusions: Patient satisfaction survey can be a driving force for changes in health care delivery with institutions and individuals. These initiatives can promote improvement in practice and also respond to patient expressed needs.

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

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 Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manon Haemmerli ◽  
Timothy Powell-Jackson ◽  
Catherine Goodman ◽  
Hasbullah Thabrany ◽  
Virginia Wiseman
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Poor Quality ◽  
Health Facilities ◽  
Quality Health Care ◽  
Public And Private ◽  
The Poor ◽  
Service Readiness ◽  
Quality Health

Abstract Background For many low and middle-income countries poor quality health care is now responsible for a greater number of deaths than insufficient access to care. This has in turn raised concerns around the distribution of quality of care in LMICs: do the poor have access to lower quality health care compared to the rich? The aim of this study is to investigate the extent of inequalities in the availability of quality health services across the Indonesian health system with a particular focus on differences between care delivered in the public and private sectors. Methods Using the Indonesian Family Life Survey (wave 5, 2015), 15,877 households in 312 communities were linked with a representative sample of both public and private health facilities available in the same communities. Quality of health facilities was assessed using both a facility service readiness score and a knowledge score constructed using clinical vignettes. Ordinary least squares regression models were used to investigate the determinants of quality in public and private health facilities. Results In both sectors, inequalities in both quality scores existed between major islands. In public facilities, inequalities in readiness scores persisted between rural and urban areas, and to a lesser extent between rich and poor communities. Conclusion In order to reach the ambitious stated goal of reaching Universal Health Coverage in Indonesia, priority should be given to redressing current inequalities in the quality of care.

scholarly journals Total Quality Management in Healthcare

2009 ◽  
Author(s):  
Gunjan Patel ◽  
G P
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Care Delivery ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Total Quality ◽  
Multiple Sources ◽  
True Nature ◽  
Error Prevention

This paper presents the description on Healthcare organizations are required to focus on Total quality improve:- Rendering acceptable, quality health services to patients at affordable price within reasonable price, within in a reasonable time; Applying zero errors to all patients services; maintaining a continuous error prevention program; Training employees in medical care on such aspects as error prevention,reducing delay time and providing prompt reasonable to patients needs; management system have always improvement in such systems to realize the true nature of the quality of healthcare and to be motivated towards improving this quality.In spite of billions of dollars of money spent worldwide, most of the healthcare is seen to be ineffective, inefficient and inadequate. Therefore there is a crying need to bring about a paradigm shift in the quality of health care delivery and to monitor and sustain it. It is obvious that those institutions, which are quality conscious and are committed to continuous quality improvement, will gain the highest consumer acceptance and will flourish at the expense of others. The ‘Quality Revolution’, as it is sometimes referred to, is nothing but putting the patient at the heart of health care and wrapping the care around it, rather than the other way around. Quality Measuring and assessing service is important, particularly when multiple sources of variation are present. Analyzing all medical processes to remove rework and waste could build health care quality and lead to significant reductions in patient cost. The use of quality-assurance programs and statistical tools can be directly applied to health-care organizations with improved quality of patient’s objectives and the results of care from the patient’s viewpoint.

Sign in / Sign up

Export Citation Format

Share Document