Preventable Causes of Death versus Infant Mortality as an Indicator of the Quality of Health Services

1986 ◽  
Vol 16 (4) ◽  
pp. 553-563 ◽  
Author(s):  
Carol Buck ◽  
Shelley Bull

We have made a preliminary comparison of infant mortality with the preventable causes of death proposed by Rutstein and colleagues, as indicators of the quality of health care. Two analyses were carried out. The first analysis compared the correlations of infant mortality and of the preventable deaths with four health service variables in 17 developed countries. Infant mortality was more highly correlated with the health service variables and less highly correlated with per capita income in comparison with the preventable deaths. The second analysis examined correlations of the two mortality indicators with variables reflecting the quality of general practitioner training in England. Here again, infant mortality appeared to be more sensitive, although reasons for regarding this result with caution are emphasized. Suggestions are made for further research on the concept of preventable mortality as a health outcome indicator.

1970 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Ralph K. Davidson

Today, the need for economic development is self-evident to the millions of people in Asia, Africa and Latin America who suffer from malnutrition, are ill-housed, poorly educated, and either unemployed or grossly underemployed. The ultimate objective of economic development is to raise the standard of life – the quality of life - for the mass of the people, to widen their area of choice, to open up new opportunities for human well-being. The less developed countries have two-thirds of the 3.5 billion people but receive only 12.5 percent of the world's gross national product. Life appears to be an economic treadmill with the future blighted by an excessive rate of population growth for millions of people. India provides a good illustration of the problem. With an estimated population of 525 million at mid-1968, India had 15 percent of the world's population, 2.4 percent of the world's land area, hardly 2 percent of the world's income, and an annual per capita income level of around $75.


2022 ◽  
pp. 31-43
Author(s):  
Atul Bamrara

Global environmental troubles are gaining significance because of the speedy and antagonistic speed of urbanization. Environmental degradation restricts the flow of environmental services. Dumping of pollutants in excess of its assimilative capacity into air, water, and soil results in deterioration of the quality of these vital resources. The nature of environmental problem depends upon the level of economic development and the geographical condition of the area under consideration. India being a developing economy with a low per capita income, high population density, agriculture-dependent labour force, and high percentage of rural areas, the problems here are different from those in developed countries. The chapter highlights the impact of knowledge regarding environmental protection issues on environmental degradation.


2010 ◽  
Vol 19 (4) ◽  
pp. 287-290 ◽  
Author(s):  
Paul Lelliott ◽  
Sarah Bleksley

AbstractOver the past ten years, the National Health Service in England has introduced home treatment teams throughout the country. Despite this, and the fact that England now has the fourth lowest number of beds per capita in Europe, no mental health service has been able to dispense with acute admission beds altogether. One unintended consequence of new investment in community alternatives to inpatient care is that the threshold for admission has risen and acute wards now accommodate a patient group that is more severe with regard to levels of disturbance and social disadvantage. This has compounded the challenge of providing high quality inpatient care and repeated national surveys suggest that acute admission wards are the weakest link in the English mental healthcare system. In response to this, the Royal College of Psychiatrists has established an accreditation scheme for acute admission wards. Only 22 of the first 132 wards to have completed the review process so far are considered to be excellent. Although 59 wards (45% of the total) failed to meet one or more essential standard, 43 of these were able to rectify the problem.Declaration of Interest: None.


2021 ◽  
Vol 8 (1) ◽  
pp. 36-39
Author(s):  
Agista Putri Miranti ◽  
Sri Nurcahyati ◽  
Thia Oktiany

Incompleteness in filling out the inpatient pain assessment sheet will have an impact on the discontinuity of information and will affect the quality of health service facilities. The purpose of this study was conducted to determine the completeness of the Inpatient Pain Assessment Sheet at Sumber Kasih Hospital, Cirebon City.This type of research is quantitative descriptive. The population is the entire medical record document from January to March in 2020 with a sample of 99 medical record documents. This research instrument uses observation sheets. The results of this study indicate that there are 1 (1%) medical record documents that are completely filled and 98 (99%) incomplete medical record documents on the pain assessment sheet form. As for the conclusion in this research the completeness of the study sheet of pain in Sumber Kasih Cirebon City Hospital 1 while the incomplete study sheet of 99. And also the advice in this research is advice for hospitals should be evaluated to maintain the quality of health services improve the performance of medical record officers in the Sumber Kasih Cirebon City Hospital.


GIS Business ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. 138-154
Author(s):  
AHMED ABDIKADIR ORE ◽  
DR. EMMANUEL AWUOR ◽  
JUSTER GATUMI NYAGA

The study seeks to find out factors affecting health service provision in pastoral communities, it                   is focusing Wajir County. The County Government is mandated to provide services including the                     health services which have been enabled by devolution functions such as transfer of funds.              However, Counties especially within the patrol communities have been faced with myriad of                       challenges in obtaining the standard services from the County offices such as medical and                         education services. Some of the mentioned causes of poor  services to the community from the                literature has been leaders  who are not objective in practicing the best human resource practices, poor communication facilities in the County thus community are not able to access the needed services in timely manner and lot of corruptions in the County offices. In addition, there is lack of proper structures or systems put in place to account for the resources allocated. From the past studies in the related fielded also present a methodological gap where most analysis is based on County reports lacking quantitative analysis while others uses only descriptive statistics to analyze the data.  This study thus, fills the gap by looking at broad construct which give a broader picture of the health service provision. In addition, this study combines both descriptive and inferential statistics to determine the relationships between the study variables.  The study therefore hypothesizes that: There is no relationship between devolved resource allocation and quality of health services provision (H01) and there is no relationship between human resource practices and quality of health services provision (H02); Research study was anchored on institutional theory. Descriptive survey was used; The findings of the research will be used by other researcher’s  as a reference to what they will do in future not forgetting that it was used as a source of literature review to their studies. 65 respondents were chosen through random sampling that was stratified. The research questionnaires were administered by the researcher himself to the respondents. Focus group discussion was also done to the community members. Data was analyzed through f(n) and descriptive statistics and presented using tables and graphs. The research study established that resource allocation and human resource practices have a great influence in the provision of health services. The study recommends that Governor   of Wajir County should develop and formulate guidelines, governing structure and strategic plans for effective implementation of county resources and revenue that will enable provision of quality healthcare.


2017 ◽  
Vol 70 (2) ◽  
pp. 415-423
Author(s):  
Henrique José Mendes Nunes ◽  
Paulo Joaquim Pina Queirós

ABSTRACT Stroke still causes high levels of human inability and suffering, and it is one of the main causes of death in developed countries, including Portugal. Objective: analyze the strategies of hospital discharge planning for these patients, increasing the knowledge related to hospitalhome transition, discharge planning processes and the main impact on the quality of life and functionality. Method: integrative literature review using the PICOD criteria, with database research. Results: 19 articles were obtained, using several approaches and contexts. For quality of life, the factors related to the patient satisfaction with care and the psychoemotional aspects linked with functionality are the most significant. Conclusion: during the hospitalization period, a careful hospital discharge planning and comprehensive care to patients and caregivers - in particular the functional and psychoemotional aspects - tend to have an impact on the quality of life of patients.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 748
Author(s):  
Simona-Andreea Ursache ◽  
Vicentiu-Robert Gabor ◽  
Ionel Muntele ◽  
Mihai Maftei

In this study we aim to highlight the spatial differences, intensity and frequency of causes of death associated with a range of diseases and the implications of the socio-economic impact on healthcare worldwide between 1990 and 2017: (1) Background: At the same time, an attempt was made to find regional spatial patterns that may be typical for a given geographical area, based on the assumption that global health care is in a permanent state of uncertainty as developed countries have a different morbidity profile than emerging or developing countries. (2) Methods: Using information provided by Global Burden of Disease Collaborative Network, Our World in Data and the World Bank, a multidimensional analysis was carried out, comprising four types of statistical models: grouping analysis, principal component analysis (PCA) Bravais–Pearson linear correlation and multivariate regression. (3) Results: The results confirm the hypothesis of significant correlations between the frequency of causes of death, quality of health care and quality of public health infrastructure, validated by incidence with socio-economic indicators. The study contributes to the literature by analysing trends in the spatial distribution of causes of death worldwide, detecting regional differentiations and testing how socio-economic factors may limit the incidence of morbidity.


2018 ◽  
Vol 3 (2) ◽  
pp. 102
Author(s):  
Ali Imran Thamrin ◽  
Andi Alim Bagu ◽  
Yuliana Baharuddin

The quality of  health services is one of main focus for community. Awareness of the quality of health services is increasing with the demand for improving the quality from service providers and  community as a service user. The quality of health services greatly affects patient satisfaction. The design of this study is analytic survey research with cross sectional approach. The purpose of this study  is to know the relation of quality of health service to patient satisfaction at Army Health Center (PUSKESAD) POLKES of Takalar Regency in 2017. The research is conducted at Army Health Center (PUSKESAD) POLKES Takalar District. The sample in this study are patients who treated at the Army Health Center (PUSKESAD) POLKES Takalar District in June of 2017 as many as 94 people using a simple random sampling technique. Data analysis in this research is univariate and bivariate analysis using chi square test. The results showed that there was a significant correlation between health service quality based on indicator physical appearance, reliability, responsiveness, assurance, and empathy with patient satisfaction with each p value = 0,000. It is hoped  that the Army Health Center (PUSKESAD) POLKES can improve the quality of health services and the confidence of patients in utilizing health services more increase.


Nova Economia ◽  
2020 ◽  
Vol 30 (spe) ◽  
pp. 1199-1224
Author(s):  
K J Joseph ◽  
Kiran Kumar Kakarlapudi ◽  
Akhil Joseph

Abstract There is a growing empirical evidence of premature deindustrialization in developing countries wherein the share of manufacturing in GDP and employment declined at a much lower level of per capita income as compared to the trend observed in developed countries. This study examined the manufacturing performance of India, which has been persistent with industrialization as its catch-up strategy. While the study finds no evidence of deindustrialization in the conventional sense, it presents compelling evidence in terms of wage share in value added and wage rate. Therefore, the study argues that a realistic analysis of deindustrialization should consider the quality of employment, wage share and wage rate along with employment share and GDP share. The study attributes deindustrialization in India as an outcome of its strategy to build international competitiveness based on price/wage cost advantage and the failure to build a vibrant learning, innovation and competence building system.


2018 ◽  
Vol 35 (2) ◽  
pp. 75
Author(s):  
Agus Pakpahan

<p>The main objective of this paper is to show that the concept of food security should not be separated from hunger given that measures, such as of food sufficiency per capita or household food purchasing power, cannot by themselves indicate the quality of human resources in one country.  There exists an X-factor between food sufficiency per capita on the one hand, and human resources quality on the other hand, that must be analysed. In 2017, the Global Hunger Index (GHI) values of 14 achieved by developing countries managed to match those of developed countries. This opens the opportunity, particularly for Indonesia, to re-examine non-income variables and establish policy frameworks to solve hunger. A key component to the issue is the persistent lack of animal protein consumption in Indonesia and elsewhere. This paper suggests that animal protein must be produced in a way that economically cheap and frees the production system from environmental deterioration and problems arising from antibiotic resistance.</p><p> </p><p>Abstrak</p><p>Tujuan utama tulisan ini adalah untuk menunjukkan bahwa konsep ketahanan pangan tidak terlepas dari konsep kelaparan dimana konsep yang terakhir ini menguraikan dimensi kualitas sumber daya manusia. Ukuran kecukupan pangan per kapita atau daya beli pangan rumah tangga tidak dapat dengan sendirinya menunjukkan kualitas sumber daya manusia di satu negara. Di antara kecukupan pangan per kapita di satu sisi dan kualitas sumberdaya manusia di sisi lain terdapat faktor X.  Faktor X adalah faktor yang harus dipahami dalam upaya mengintegrasikan antara konsep ketahanan pangan dan kualitas sumberdaya manusia dalam waktu yang bersamaan. Keberhasilan 14 negara berkembang mencapai status Indeks Kelaparan Global (IKG) yang sama dengan IKG negara maju pada 2017 membuka peluang negara-negara berkembang, khususnya Indonesia, untuk mengambil pelajaran dari negara-negara tersebut dalam rangka memahami faktor X, khususnya faktor non-pendapatan, dalam rangka menemukan solusi kelaparan bagi Indonesia. Salah satu komponen strategis yang paling mendesak adalah bagaimana mengatasi kekurangan konsumsi protein hewani yang telah berlangsung selama ini. Namun demikian, sistem produksi protein hewani yang perlu dibangun adalah sistem produksi protein hewani yang terbebas dari masalah resistensi antibiotika dan keberlanjutan lingkungan hidup.</p>


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