scholarly journals Improving the quality of reproductive health care: How much does it cost?

2003 ◽  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Quality Care ◽  
Cost Of Quality ◽  
Quality Costs ◽  
Multiple Dimensions ◽  
Program Costs ◽  
Access And Quality ◽  
The Cost

Quality care for clients should be the focus of a family planning and reproductive health program, but can programs afford it? There is no simple answer. The multiple dimensions of quality of care make it more difficult to identify and measure affordable improvements in service delivery. Calculating program costs is challenging, and different methods can lead to widely varying estimates. Determining how much quality costs is a challenge, but it is both possible and important for programs’ sustainability. This brief focuses on various aspects of costs and examines information about the cost of improving quality (as opposed to the cost of quality of care in general), then outlines ways to improve quality while containing costs. Ideally, decisions about quality should be the result of a dialogue among policymakers, providers, and clients. Each program has to decide what standard of quality is appropriate to apply considering its situation, its resources, and the needs of the population it is meant to serve. This policy brief uses the framework developed by the U.S. Agency for International Development’s Maximizing Access and Quality initiative.

scholarly journals Quality Costs in Health Enterprises and Sample Application

2018 ◽  
Author(s):  
Fahri Kurşunel ◽  
Salman Ebdülrzazade
Keyword(s):  
Services Quality ◽  
Health Sector ◽  
Control Process ◽  
Sustainable Competitive Advantage ◽  
Cost Of Quality ◽  
Quality Costs ◽  
Sample Application ◽  
Effective Cost ◽  
The Cost

Changing the expectations and needs of customers over time has strengthened the quality prospects for the client. The goal of the company's assets is to satisfy the customer, keep the client and protect customer loyalty. At present, it is considered that the qualification in the health sector, in particular, has a strategic priority in the success of the business and that quality management is a sustainable competitive advantage. Medical services are at the forefront of the services that people receive the most. For healthcare companies that perform these services, quality is expressed as a strategic tool used to create activities that will meet the client's needs, both current and future, and reduce costs with an effective cost control process. In this context, healthcare companies need to pay sufficient attention to the quality of their services to customers. Quality service offered to people has a significant cost that businesses have to endure. Healthcare enterprises want to know the cost of the services they want to achieve as a result of their activities. This cost is the result of activities carried out at the enterprise. This study explains the concept of quality and the importance of quality and includes the cost of quality. Then the costs for quality, included in the total cost in the hospital, are processed separately in Baku (Azerbaijan).

scholarly journals ANALISIS PERHITUNGAN BIAYA KUALITAS DALAM MENINGKATKAN KUALITAS PRODUK PADA PABRIK GULA MADUKISMO

2020 ◽  
Vol 2 (2) ◽  
pp. 145-157
Author(s):  
Nurul Listiawati
Keyword(s):  
Program Planning ◽  
Employee Training ◽  
Financial Statements ◽  
Cost Of Quality ◽  
Machine Maintenance ◽  
Quality Costs ◽  
Hidden Cost ◽  
Failure Cost ◽  
The Cost

ABSTRAK Tujuan penelitian ini adalah untuk menganalisis perhitungan biaya kualitas untuk meningkatkan kualitas hasil produksi pada Pabrik Gula (PG) Madukismo. Penelitian ini juga mengenai perencanaan program kualitas dan perhitungan biaya kualitas dengan metode prevention, apprisial,  failure cost (P-A-F) pada PG Madukismo. Pendekatan penelitian yang digunakan adalah penelitian kualitatif dengan pendekatan analisis deskriptif. PG Madukismo merupakan objek dari penelitian ini karena satu-satunya pabrik gula yang terletak di Provinsi Daerah Istimewa Yogyakarta yang mengembang tugas untuk mensukseskan program pangan nasional dan siap dalam menhadapi persaingan di era globalisasi.             Hasil penelitian ini menunjukkan bahwa PG Madukismo telah mengeluarkan biaya yang terkait dalam peningkatkan kualitas untuk produk yang mereka hasilkan. Biaya kualitas yang dikeluarkan oleh perusahaan untuk meningkatkan produk mereka ialah biaya pelatihan karyawan, biaya pemeliharaan mesin, biaya penyuluhan tebu, biaya proteksi hama, biaya pemeriksaan tebu, biaya pemeriksaan proses produksi, biaya akurasi alat, dan biaya pengerjaan kembali. Kelemahan model P-A-F hanya memaparkan biaya kualitas yang tertera langsung pada laporan keuangan tidak dapat memaparkan dari aktivitas yang sulit untuk diidentifikasi biayanya (hidden cost).   Kata kunci: biaya kualitas, perusahaan gula, pencegahan, penilaian, biaya kegagalan.   ABSTRACT   The purpose of this study was to analyze the accounting of the cost quality to improve the quality of production in Madukismo sugar company. This study is also about quality of program planning and accounting of quality costs with prevention, appraisal, failure cost method (P-A-F) on the Madukismo sugar company. The approach used in this study is a qualitative research with descriptif analysis approach. Madukismo sugar company is the object of this study because the only sugarr mill located in the province of Yogyakarta which expands the task to make the program successful national food and ready in overcoming global competition. The results of this study indicate that Madukismo sugar company has incurred related to enhancing the quality of the products they produce. Quality costs incurred by companies to improve their products is the cost of employee training, machine maintenance costs, costs of extension cane, pest protection fees, inspection fees cane, its cost of production proces, the accuracy of the charges, and the cost of rework. The weakness of the model P-A-F only describe the cost of quality printed directly on the financial statements can not be explained from a difficult activity to be identified costs (hidden costs) Keywords: cost of quality,  sugar company, prevention, apprisal, the cost of failure.  

scholarly journals Parental Involvement Policies for Minors Seeking Abortion in the Southeast and Quality of Care

2021 ◽  
Author(s):  
Kari White ◽  
Subasri Narasimhan ◽  
Sophie A. Hartwig ◽  
Erin Carroll ◽  
Alexandra McBrayer ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Parental Involvement ◽  
Service Delivery ◽  
Quality Care ◽  
Health Service Delivery ◽  
Policy Implications ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Staff Members

Abstract Introduction Thirty-seven states require minors seeking abortion to involve a parent, either through notification or consent. Little research has examined how implementation of these laws affect service delivery and quality of care for those who involve a parent. Methods Between May 2018 and September 2019, in-depth interviews were conducted with 34 staff members involved in scheduling, counseling, and administration at abortion facilities in three Southeastern states. Interviews explored procedures for documenting parental involvement, minors’ and parents’ reactions to requirements, and challenges with implementation and compliance. Both inductive and deductive codes, informed by the Institute of Medicine’s healthcare quality framework, were used in the thematic analysis. Results Parental involvement laws adversely affected four quality care domains: efficiency, patient-centeredness, timeliness, and equity. Administrative inefficiencies stemmed from the extensive documentation needed to prove an adult’s relationship to a minor, increasing the time and effort needed to comply with state reporting requirements. If parents were not supportive of their minor’s decision, participants felt they had a duty to intervene to ensure the minor’s decision and needs remained centered. Staff further noted that delays to timely care accumulated as minors navigated parental involvement and other state mandates, pushing some beyond gestational age limits. Lower income families and those with complex familial arrangements had greater difficulty meeting state requirements. Conclusions Parental involvement mandates undermine health service delivery and quality for minors seeking abortion services in the Southeast. Policy Implications Removing parental involvement requirements would protect minors’ reproductive autonomy and support the provision of equitable, patient-centered healthcare.

Value-based dentistry: Putting the patient first

2016 ◽  
Vol 7 (3) ◽  
pp. 126-129 ◽  
Author(s):  
Sreenivas Koka ◽  
Galya Raz
Keyword(s):  
Risk Management ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Dental Care ◽  
Time Cost ◽  
Safety Risk ◽  
The Cost ◽  
Over Time

What does ‘value’ mean? In the context of dental care, it can be defined as the quality of care received by a patient divided by the cost to the patient of receiving that care. In other words: V =Q/C, where Q equals the quality improvement over time, which most patients view in the context of the outcome, the service provided and safety/risk management, and C equals the financial, biological and time cost to the patient. Here, the need for, and implications of, value-based density for clinicians and patients alike are explored.

Content of antenatal care and perception about services provided by primary hospitals in Nepal: a convergent mixed methods study

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Yubraj Acharya ◽  
Nigel James ◽  
Rita Thapa ◽  
Saman Naz ◽  
Rishav Shrestha ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Mixed Methods ◽  
Antenatal Care ◽  
Quality Care ◽  
National Level ◽  
Poor Quality ◽  
Public Hospitals ◽  
World Health ◽  
Outcome Variable

Abstract Background Nepal has made significant strides in maternal and neonatal mortality over the last three decades. However, poor quality of care can threaten the gains, as maternal and newborn services are particularly sensitive to quality of care. Our study aimed to understand current gaps in the process and the outcome dimensions of the quality of antenatal care (ANC), particularly at the sub-national level. We assessed these dimensions of the quality of ANC in 17 primary, public hospitals across Nepal. We also assessed the variation in the ANC process across the patients’ socio-economic gradient. Methods We used a convergent mixed methods approach, whereby we triangulated qualitative and quantitative data. In the quantitative component, we observed interactions between providers (17 hospitals from all 7 provinces) and 198 women seeking ANC and recorded the tasks the providers performed, using the Service Provision Assessments protocol available from the Demographic and Health Survey program. The main outcome variable was the number of tasks performed by the provider during an ANC consultation. The tasks ranged from identifying potential signs of danger to providing counseling. We analyzed the resulting data descriptively and assessed the relationship between the number of tasks performed and users’ characteristics. In the qualitative component, we synthesized users’ and providers’ narratives on perceptions of the overall quality of care obtained through focus group discussions and in-depth interviews. Results Out of the 59 tasks recommended by the World Health Organization, providers performed only 22 tasks (37.3%) on average. The number of tasks performed varied significantly across provinces, with users in province 3 receiving significantly higher quality care than those in other provinces. Educated women were treated better than those with no education. Users and providers agreed that the overall quality of care was inadequate, although providers mentioned that the current quality was the best they could provide given the constraints they faced. Conclusion The quality of ANC in Nepal’s primary hospitals is poor and inequitable across education and geographic gradients. While current efforts, such as the provision of 24/7 birthing centers, can mitigate gaps in service availability, additional equipment, infrastructure and human resources will be needed to improve quality. Providers also need additional training focused on treating patients from different backgrounds equally. Our study also points to the need for additional research, both to document the quality of care more objectively and to establish key determinants of quality to inform policy.

scholarly journals The relationship between inequitable gender norms and provider attitudes and quality of care in maternal health services in Rwanda: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kate Doyle ◽  
Shamsi Kazimbaya ◽  
Ruti Levtov ◽  
Joya Banerjee ◽  
Myra Betron ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Care Provider ◽  
Quality Care ◽  
Gender Norms ◽  
Mixed Methods Study ◽  
Gender Attitudes ◽  
Power Dynamics ◽  
Health Providers ◽  
Men’S Involvement

Abstract Background Rwanda has made great progress in improving reproductive, maternal, and newborn health (RMNH) care; however, barriers to ensuring timely and full RMNH service utilization persist, including women’s limited decision-making power and poor-quality care. This study sought to better understand whether and how gender and power dynamics between providers and clients affect their perceptions and experiences of quality care during antenatal care, labor and childbirth. Methods This mixed methods study included a self-administered survey with 151 RMNH providers with questions on attitudes about gender roles, RMNH care, provider-client relations, labor and childbirth, which took place between January to February 2018. Two separate factor analyses were conducted on provider responses to create a Gender Attitudes Scale and an RMNH Quality of Care Scale. Three focus group discussions (FGDs) conducted in February 2019 with RMNH providers, female and male clients, explored attitudes about gender norms, provision and quality of RMNH care, provider-client interactions and power dynamics, and men’s involvement. Data were analyzed thematically. Results Inequitable gender norms and attitudes – among both RMNH care providers and clients – impact the quality of RMNH care. The qualitative results illustrate how gender norms and attitudes influence the provision of care and provider-client interactions, in addition to the impact of men’s involvement on the quality of care. Complementing this finding, the survey found a relationship between health providers’ gender attitudes and their attitudes towards quality RMNH care: gender equitable attitudes were associated with greater support for respectful, quality RMNH care. Conclusions Our findings suggest that gender attitudes and power dynamics between providers and their clients, and between female clients and their partners, can negatively impact the utilization and provision of quality RMNH care. There is a need for capacity building efforts to challenge health providers’ inequitable gender attitudes and practices and equip them to be aware of gender and power dynamics between themselves and their clients. These efforts can be made alongside community interventions to transform harmful gender norms, including those that increase women’s agency and autonomy over their bodies and their health care, promote uptake of health services, and improve couple power dynamics.

scholarly journals Perceived Support Among Families Deciding About Organ Donation for Their Loved Ones: Donor Vs Nondonor Next Of Kin

2010 ◽  
Vol 19 (5) ◽  
pp. e52-e61 ◽  
Author(s):  
Liva Jacoby ◽  
James Jaccard
Keyword(s):  
Quality Of Care ◽  
Organ Donation ◽  
Demographic Data ◽  
Quality Care ◽  
Family Members ◽  
Care Staff ◽  
Next Of Kin ◽  
Perceived Quality Of Care ◽  
Brain Dead

BackgroundFamilies’ experiences in the hospital influence their decisions about donating organs of brain-dead relatives. Meeting families’ support needs during this traumatic time is an obligation and a challenge for critical care staff.Objectives(1) To elicit family members’ accounts of various types of support received and perceived quality of care for themselves and their loved ones when they made the donation decision, and (2) to examine the relationship between these factors and the families’ donation decision.MethodsRetrospective telephone interviews of 199 families from different regions of the country were completed. Aside from demographic data, the survey addressed perceptions of informational, emotional, and instrumental support and quality of care.ResultsOne hundred fifty-four study participants consented to donation; 45 declined. White next of kin were significantly more likely than African Americans to consent. Specific elements of reported support were significantly associated with consent to donate. Donor and nondonor families had differing perceptions of quality care for themselves and their loved ones. Receiving understandable information about organ donation was the strongest predictor of consent.ConclusionsSpecific supportive behaviors by staff as recounted by family members of potential donors were significantly associated with consent to donation. These behaviors lend themselves to creative training and educational programs for staff. Such interventions are essential not only for next of kin of brain-dead patients, but also for staff and ultimately for the public as a whole.

scholarly journals The Effectiveness of the Quality of Performance Using the Cost Accounting Information System in the Control of Quality Costs Study in the General Company for Electrical Industries

2019 ◽  
Vol 27 (2) ◽  
pp. 115-132
Author(s):  
Hanan Abdullah Hassan Al-Amar ◽  
Qasim Ali Omran Al-Bayati ◽  
Huda Jabbar Kadhum Al-Haiyali
Keyword(s):  
Information Systems ◽  
Raw Materials ◽  
Accounting Information ◽  
Cost Accounting ◽  
Technical Standards ◽  
Accounting Systems ◽  
Accounting Information Systems ◽  
Quality Costs ◽  
The Cost

The financial operations which carried out by economic unity are proven treatment and documenting and continuous down to makers decision by relevance objective and time and then to reflect on the decision maker in any center of responsibility. That ’s provided by the system accounting information where the source is the basis for producing important accounting information, And the cost accounting information systems of the most important information systems that deal with data processing and conversion to information of relative importance to the beneficiaries. Which is consist with The objective of the research that emphasize the importance of accounting systems in general and systems cost in particular to achieve the highest c The research has led to a number of results, the most important of which is the difficulty in controlling quality costs as well as the waste of economic resources in the company. The researchers recommended adherence to the technical standards to achieve the quality of performance as well as conducting a thorough examination of samples and focusing on the quality of raw materials and testing before use to reduce the proportion Damage.

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