scholarly journals Como melhorar a qualidade dos serviços de saúde comunitária

2011 ◽  
Vol 1 (2) ◽  
pp. 23
Author(s):  
Marinalva Ribeiro Pardinho Durães ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Community Health ◽  
Health Care Quality ◽  
Community Health Services ◽  
Care Quality ◽  
Theoretical Research ◽  
Calidad De Vida ◽  
Health Care Quality Improvement ◽  
Health Promoting ◽  
Health Quality

Trata-se de uma investigação sobre como melhorar a qualidade dos serviços de saúde comunitária, visando à promoção da saúde pública favorecendo qualidade de vida, promovendo estilos de vida saudáveis, dando particular importância à informação da saúde ao contexto social, econômico, político e ao desenvolvimento de novos conhecimentos sobre os determinantes da saúde na comunidade. Tem como objetivo de levar ao conhecimento do profissional de saúde uma melhoria na qualidade de saúde. Este estudo consiste em uma revisão literária onde visa contribuir e explicitar uma pesquisa teórica sobre o assunto. A incorporação da percepção dos usuários pode-se constituir em instrumento para avaliar a qualidade dos serviços públicos urbanos. No entanto a participação dos usuários necessita ser feita de forma organizada, através de métodos possam efetivamente introduzir esta informação no processo de garantia da qualidade destes serviços.Descritores: Comunidade, Saúde, Qualidade dos Serviços. How to improve quality of community health servicesAbstractIt is an investigation into how to improve the quality of community health services, aimed at promoting public health promoting quality of life by promoting healthy lifestyles, with particular emphasis on health information to the social, economic, political and development of new knowledge about the determinants of health in the community. It aims to bring to the attention of health care quality improvement in health. This study consists of a literature review which aims to contribute and make explicit a theoretical research on the subject. The incorporation of users' perception can be an instrument to assess the quality of urban public services. However the participation of users needs to be done in an organized manner, using methods to effectively introduce this information in the process of quality assurance of these services.Descriptors: Community, Health, Quality of Services. Como mejorar la calidad de los servicios de salud comunitariosResumenSe trata de una investigación sobre cómo mejorar la calidad de los servicios de salud de la comunidad, destinado a promover la salud pública para promover la calidad de vida mediante la promoción de estilos de vida saludables, con especial enfasis en la información de salud para el desarrollo social, económico, político y desarrollo de nuevos conocimientos sobre los determinantes de la salud en la comunidad. Su objetivo es llamar la atención de la mejora de la calidad de atención de salud en materia de salud. Este estudio consiste en una revisión de la literatura que tiene como objetivo contribuir y hacer explícita una investigación teórica sobre el tema. La incorporación de la opinión de los usuários puede ser un instrumento para evaluar la calidad de los servicios públicos urbanos. Sin embargo, la participación de los usuários que hay que hacer de una manera organizada, utilizando métodos para introducir eficazmente esta información en el proceso de aseguramiento de la calidad de estos servicios.Descriptores: Comunidad, Salud, Calidad de los Servicios.

If Roth Were a Doctor: Physician Reputation under the HCQIA

2004 ◽  
Vol 30 (1) ◽  
pp. 85-100 ◽  
Author(s):  
Guillermo A. Montero
Keyword(s):  
United States ◽  
Peer Review ◽  
Health Care Quality ◽  
Data Bank ◽  
Quality Of Healthcare ◽  
The United States ◽  
Care Quality ◽  
Disciplinary Action ◽  
Health Care Quality Improvement

Hospitals in the United States rely on peer review committees to make credentialing decisions and to conduct ongoing evaluations of all medical care, thereby ensuring the quality of the physicians they employ. Physicians, however, may be reluctant to serve on peer review committees for fear of retaliatory litigation. In response, and in an effort to improve the quality of healthcare in the United States, Congress passed the Health Care Quality Improvement Act of 1986 (“HCQIA”).Congress designed the HCQIA to improve the quality of healthcare in two ways. First, it increased the effectiveness of peer review by providing review committees with immunity from lawsuits filed in response to professional review actions. Second, it authorized the Secretary of Health and Human Services (“HHS”) to create the National Practitioner's Data Bank (“NPDB”). Any disciplinary action taken by a review committee must, as a condition to immunity, be reported for listing in the NPDB.

scholarly journals A scoping review of registry captured indicators for evaluating quality of critical care in ICU

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Issrah Jawad ◽  
Sumayyah Rashan ◽  
Chathurani Sigera ◽  
Jorge Salluh ◽  
Arjen M. Dondorp ◽  
...  
Keyword(s):  
Critical Care ◽  
Scoping Review ◽  
Health Care Quality ◽  
Grey Literature ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Patient Reported Outcome ◽  
Care Quality ◽  
Patient Reported

Abstract Background Excess morbidity and mortality following critical illness is increasingly attributed to potentially avoidable complications occurring as a result of complex ICU management (Berenholtz et al., J Crit Care 17:1-2, 2002; De Vos et al., J Crit Care 22:267-74, 2007; Zimmerman J Crit Care 1:12-5, 2002). Routine measurement of quality indicators (QIs) through an Electronic Health Record (EHR) or registries are increasingly used to benchmark care and evaluate improvement interventions. However, existing indicators of quality for intensive care are derived almost exclusively from relatively narrow subsets of ICU patients from high-income healthcare systems. The aim of this scoping review is to systematically review the literature on QIs for evaluating critical care, identify QIs, map their definitions, evidence base, and describe the variances in measurement, and both the reported advantages and challenges of implementation. Method We searched MEDLINE, EMBASE, CINAHL, and the Cochrane libraries from the earliest available date through to January 2019. To increase the sensitivity of the search, grey literature and reference lists were reviewed. Minimum inclusion criteria were a description of one or more QIs designed to evaluate care for patients in ICU captured through a registry platform or EHR adapted for quality of care surveillance. Results The search identified 4780 citations. Review of abstracts led to retrieval of 276 full-text articles, of which 123 articles were accepted. Fifty-one unique QIs in ICU were classified using the three components of health care quality proposed by the High Quality Health Systems (HQSS) framework. Adverse events including hospital acquired infections (13.7%), hospital processes (54.9%), and outcomes (31.4%) were the most common QIs identified. Patient reported outcome QIs accounted for less than 6%. Barriers to the implementation of QIs were described in 35.7% of articles and divided into operational barriers (51%) and acceptability barriers (49%). Conclusions Despite the complexity and risk associated with ICU care, there are only a small number of operational indicators used. Future selection of QIs would benefit from a stakeholder-driven approach, whereby the values of patients and communities and the priorities for actionable improvement as perceived by healthcare providers are prioritized and include greater focus on measuring discriminable processes of care.

scholarly journals Patient experience surveys for children’s community health services: A scoping review

2021 ◽  
pp. 136749352110058
Author(s):  
Helen J Nelson ◽  
Catherine Pienaar ◽  
Anne M Williams ◽  
Ailsa Munns ◽  
Katie McKenzie ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Community Health ◽  
Patient Experience ◽  
Scoping Review ◽  
Emotional Support ◽  
Community Health Services ◽  
Experience Of Care ◽  
Healthcare Experience

Patient experience surveys have a user focus and measure the quality of person-centered health care for hospital inpatients and consumers of community health services, providing a governance process to evaluate the quality of care and to action improvement. Experience of care has been described as effective communication, respect and dignity, and emotional support. Measurement criteria for these domains are not standardized, leading to inconsistent reporting of patient experience. The objective of this scoping review was to synthesize evidence for measuring experience of care in children’s community health services using the Joanna Briggs Institute framework for scoping review method. Three parent-reported surveys met the inclusion criteria, and 50 survey items were assessed by expert reviewers for fit to domains of healthcare experience. Conceptual domains of parent experience in children’s community health services included respect and dignity, effective communication, and emotional support. A gap was identified, in that few items in identified surveys measured emotional support. This contribution will promote consistent reporting of healthcare experience, informing policy and practice for person-centered health care.

Effect of angiotensin-converting inhibitor or angiotensin receptor blocker on one-year survival in patients ≥65 years hospitalized with a left ventricular ejection fraction ≥50%**The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government. The investigator assumes full responsibility for the accuracy and completeness of the ideas presented. This study is a direct result of the Health Care Quality Improvement Program initiated by the Centers for Medicare & Medicaid Services, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this contractor. Ideas and contributions to the investigator concerning experience in engaging with issues presented are welcomed.

2003 ◽  
Vol 91 (3) ◽  
pp. 363-365 ◽  
Author(s):  
Carla A Sueta ◽  
Allison Russo ◽  
Anna Schenck ◽  
David W Brown ◽  
Ross J Simpson
Keyword(s):  
Quality Improvement ◽  
Health Care Quality ◽  
Left Ventricular ◽  
Care Quality ◽  
Left Ventricular Ejection ◽  
Direct Result ◽  
Improvement Program ◽  
Ventricular Ejection Fraction ◽  
Us Government ◽  
Health Care Quality Improvement

scholarly journals Better Life Index and Health Care Quality Indicators, Two New Instruments to Evaluate the Healthcare System

2018 ◽  
Vol 13 (2) ◽  
pp. 29
Author(s):  
Paolo Pietro Biancone ◽  
Silvana Secinaro ◽  
Valerio Brescia
Keyword(s):  
Health Care Quality ◽  
Well Being ◽  
Care Quality ◽  
P Value ◽  
Local Health ◽  
Better Life Index ◽  
Long Time ◽  
Health Care Quality Indicators ◽  
New Instruments

Local health companies have been trying to report quantitative and qualitative information through social reporting tools for a long time. The OECD has been questioning for quite some time how to evaluate satisfaction and quality by not considering the economic aspect alone in the quest for satisfying the needs of the citizen. The aim of the work is to evaluate how the compound indicator of well-being perceived by the population and the composite indicator of the quality of health services can be used to define health policies considering the incidence of other variables. In the analysis, it is therefore assessed how much the two indicators are related and linked to other variables that need to be considered and how independent indicators are used without further evaluations to target policies. The data are updated to October 18, 2017. All statistical analyses were performed using STATA V.13 (Stata Corp, College Station, Texas, USA, 2013) and p value <0.05 was considered significant for all analyses. The sample is made up of 35 OECD countries.

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.

scholarly journals Analysis of Implementation of EWSS (Early Warning Score Systems) Against AvLos (Average Length of Stay) and the Trust of Patients in Inpatient Installation at Jombang General Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 348-356
Author(s):  
Sutikno Sutikno ◽  
Sandu Siyoto ◽  
Byba Melda Suhita
Keyword(s):  
Quality Of Service ◽  
Early Detection ◽  
Early Warning ◽  
Health Care Quality ◽  
Early Warning Systems ◽  
Care Quality ◽  
Early Warning Score ◽  
Warning Systems ◽  
General Hospitals

Hospitals are required to always improve the quality of service provided to patients. These challenges have forced the hospital to develop its ability to manifest in various aspects of health care quality responsible. One of them by applying the assessment and early detection in patients kegawatan as well as the critical state of activation becomes very important. Quick and proper response to a nurse against the worsening conditions of patients giving a great impact to the quality of the quality of service provided. The purpose of this research is to analyze the implementation of Early Warning systems (EWSS) Score against AvLOS and trust patients in Inpatient installation at Jombang General Hospitals. The research design was analytic observational with a quantitative approach. Research variables i.e. implementation of EWSS as independent variables. AvLos and trust patients as the dependent variable. The population of this entire research nurses in Inpatient installation at Jombang General Hospitals as much as 135 nurses, patients and families of patients who are being treated in Inpatient installation at Jombang General Hospitals Jombang. Samples taken with the cluster random sampling technique as much as 101 respondents. Data is collected with instruments ceklist and processed in coding, editing, tabulating and scoring as well as tested with logistics regression test. Logistic regression results indicate that partially and simultaneously show that the value of p values < 0.05 so that there were the implementation of Early Warning systems (EWSS) Score against AvLOS and trust of the patient, and the simultaneous influence of 83.2%. The existence of implementation of EWSS in patients with good then early detection and response officers can be done in a proper and effective against the condition and the healing of patients and can shorten the day care patients, so that it can affect the confidence and trust family and patient in receiving health services in the hospital

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