Statistical Analysis of Quality Improvement in Health Care Services Using National Cancer Registration and Statistics of Five-Year Relative Survival Data

2017 ◽  
Vol 22 (2) ◽  
pp. 71-80
Author(s):  
Nami Chun
2020 ◽  
Vol 69 (4) ◽  
pp. 401-418
Author(s):  
Annamária Uzzoli ◽  
Zoltán Egri ◽  
Dániel Szilágyi ◽  
Viktor Pál

The availability of health care services is an important issue, however, improving availability of health care services does not necessarily mean better accessibility for everybody. The main aim of this study is to find out how better availability in the care of acute myocardial infarction vary with accessibility of patients’ geographical location within Hungary. We applied statistical analysis and interview techniques to unfold the role of spatiality in the conditions of access to health care. Results of statistical analysis indicate significant health inequalities in Hungary. Decreasing national mortality rates of acute myocardial infarction, has been coupled by increasing spatial inequalities within the country especially at micro-regional level. According to in-depth interviews with local health care stakeholders we defined factors that support access to health care as well as important barriers. The supporting factors are related to the improvement of availability (i.e. infrastructural developments), while geographical distance, lack of material and human resources, or low level of health literacy proved to be the most relevant barriers. Main conclusion is that barriers to accessibility and availability are not only spatial but are also based on individual stages of acute myocardial infarction care. The development of cardiac catheter centres in Hungary has improved the short-term chances of infarction survival, but long-term survival chances have worsened in recent years due to deficiencies in rehabilitation care as well as low level of health literacy.


2017 ◽  
Vol 4 (6) ◽  
Author(s):  
Davoud Khorasani Zavareh ◽  
Faranak Mohammadlou ◽  
Maryam Bigdeli

Author(s):  
Carmen Huerga Castro ◽  
Julio Ignacio Abad González ◽  
Pilar Blanco Alonso

<p>La metodología seis sigma es un programa de mejora continua de la calidad que, en base a hechos y datos, persigue reducir errores y avanzar hacia altos objetivos de calidad. Ofrece un enfoque estructurado, analítico y racional para el establecimiento de proyectos de mejora acordes con los objetivos planteados. Si bien la popularidad del seis sigma se deriva de su aplicación en los procesos productivos del sector industrial, cada vez está más extendida su aplicación en el sector servicios y, por ende, en los servicios sanitarios donde la “satisfacción del cliente” adquiere una relevancia vital.<br />La aplicación de seis sigma requiere el uso de un amplio abanico de herramientas estadísticas, de hecho, el término sigma representa la desviación típica de una distribución y es el factor clave para conocer la variabilidad de la misma. Por ello, en este trabajo señalamos las herramientas más apropiadas en cada etapa o fase de implementación del seis sigma (definir, medir, analizar, mejorar y controlar) y presentamos una propuesta de aplicación en un servicio sanitario.</p><p>Six-Sigma is a strategy for continuous quality improvement based on facts and data that attempts to reach higher quality standards and lower number of defects. Six-Sigma provides a structured, analytic and rational approach that allows the implementation of quality improvement projects according to the planned objectives. Although its current popularity is mainly due to its widespread implementation in the industrial sector, it is also being increasingly used in the services sector, such as in health care services, where the customer’s satisfaction has an even more crucial relevance.<br />Six-Sigma involves the use of a wide range of statistical tools; in fact, the term <em>sigma</em> means standard deviation, which is a key measure of the distribution’s variability. In this paper the statistical tools more suitable for each phase of Six-Sigma’s adoption are presented as well a proposal of its adoption in health care services</p>


Author(s):  
Carmen Huerga Castro ◽  
Julio Ignacio Abad González ◽  
Pilar Blanco Alonso

<p>La metodología seis sigma es un programa de mejora continua de la calidad que, en base a hechos y datos, persigue reducir errores y avanzar hacia altos objetivos de calidad. Ofrece un enfoque estructurado, analítico y racional para el establecimiento de proyectos de mejora acordes con los objetivos planteados. Si bien la popularidad del seis sigma se deriva de su aplicación en los procesos productivos del sector industrial, cada vez está más extendida su aplicación en el sector servicios y, por ende, en los servicios sanitarios donde la “satisfacción del cliente” adquiere una relevancia vital.<br />La aplicación de seis sigma requiere el uso de un amplio abanico de herramientas estadísticas, de hecho, el término sigma representa la desviación típica de una distribución y es el factor clave para conocer la variabilidad de la misma. Por ello, en este trabajo señalamos las herramientas más apropiadas en cada etapa o fase de implementación del seis sigma (definir, medir, analizar, mejorar y controlar) y presentamos una propuesta de aplicación en un servicio sanitario.</p><p>Six-Sigma is a strategy for continuous quality improvement based on facts and data that attempts to reach higher quality standards and lower number of defects. Six-Sigma provides a structured, analytic and rational approach that allows the implementation of quality improvement projects according to the planned objectives. Although its current popularity is mainly due to its widespread implementation in the industrial sector, it is also being increasingly used in the services sector, such as in health care services, where the customer’s satisfaction has an even more crucial relevance.<br />Six-Sigma involves the use of a wide range of statistical tools; in fact, the term <em>sigma</em> means standard deviation, which is a key measure of the distribution’s variability. In this paper the statistical tools more suitable for each phase of Six-Sigma’s adoption are presented as well a proposal of its adoption in health care services</p>


2011 ◽  
Vol 58 (1) ◽  
pp. 35-43
Author(s):  
Jasmina Tekic ◽  
Vidosav Majstorovic ◽  
Dejan Markovic ◽  
Angelina Nikodijevic ◽  
Dragoslav Stamenkovic

The standards ISO 9000 series, brought in 1987, were the driving force for the development and application of quality management (QM) in various areas, including health care. Currently, there are over one million certificates for quality management (QMC), and they were main initiators of quality improvement. In addition to the model for quality management of products/services, other models are also in use. The aim of this study was to present methods and techniques for quality improvement of health services, with special emphasis on dental health care services (DHS), and possibility for enhancement.


2008 ◽  
Vol 14 (2) ◽  
pp. 53 ◽  
Author(s):  
Ross Bailie ◽  
Beverly Sibthorpe ◽  
Karen Gardner ◽  
Damin Si

This paper addresses the question: "What is the current situation for Aboriginal primary health care services in relation to continuous quality improvement (CQI) in clinical care and what is needed for sustainable practice to be achievable five years from now?" The paper describes a number of recent CQI initiatives that evolved within an accountability framework, the origins of which are based on a top-down government approach to performance measurement. Over the last decade there has been a shift to a more negotiated approach and most recently to an emerging agenda that focuses more on systems to support CQI at the primary care coalface. Further development should aim to capitalise on the synergies between different CQI-related initiatives and effectively align quality improvement with performance measurement. Principles of CQI and key challenges for the future are identified.


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