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

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.

Author(s):  
Benson Chukwunweike Ephraim-Emmanuel ◽  
Adetutu Adigwe ◽  
Roland Oyeghe ◽  
Daprim S. T. Ogaji

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.


Author(s):  
Constantin Etco ◽  

One of the priorities of the health care system in Moldova is the medical services’ quality improvement. Th is article presents various defi nitions for health care quality and the principles connected with quality improvement. An important part in this article is allocated to the structure and main principles of total quality management in the health care system. Th is part reveals the problems of the commissions that are studying the quality of medical services in healthcare establishments.


1995 ◽  
Vol 7 (3) ◽  
pp. 291-292
Author(s):  
M. A. Cummings ◽  
S. Land ◽  
R. Greene ◽  
J. M. Paganini ◽  
J. C. de Noronha

2014 ◽  
Vol 7 ◽  
pp. HSI.S11027
Author(s):  
Nava Blum ◽  
Dafna Halperin ◽  
Youssef Masharawi

This review article compares ambulatory and hospital-based quality improvement methods in Israel. Data were collected from: reports of the National Program for Quality Indicators in community, the National Program for Quality Indicators in Hospitals, and from the Organization for Economic Cooperation and Development (OECD) Reviews of Health Care Quality.


2009 ◽  
Vol 4 (1) ◽  
pp. 212
Author(s):  
Janaiana Lemos Uchoa ◽  
Ana Amélia da Rocha Sales ◽  
Emanuella Silva Joventino ◽  
Lorena Barbosa Ximenes

ABSTRACT Objective: to characterize a profile of gynecoobstetric and to identify the main quality indicators of prenatal pregnant women saw in the Unidade Básica de Saúde da Família (UBASF). Methods: it’s a documentary study, retrospective and quantitative study of 38 pregnant women. A questionnaire was used with aspects of characterization and of the indicators of the Programa de Humanização no Pré-Natal e Nascimento-PHPN. Data was analyzed accord to pertinent literature. The research project has been approved by the Ethics Committee of the UNIFOR (protocol number 039/2009). Results: the majority consisted of pregnant women between the ages of 15 and 35 years old, with basic education, one partner, multiple gestations, of low weight and a vaginal childbirth. It was observed that 63.2% of the women had not initiated prenatal care until 14th week of gestation; 52.6% did not attend six or more consultation; 94.7% were immunized against tetanus; 65.8% participated in educational activities on self breast examination and 68.4% received training on breastfeeding. The majority of the pregnant did not obtain tests for hepatitis B, toxoplasmosis, HIV. Only one woman (2.6%) obtained a uterine cytopathology examination during her pregnancy period.  Conclusion: there was an inadequate prenatal care, because the minimum criteria of PHPN was not fulfilled. Descriptors: maternal and child health; prenatal care; quality of health care; primary health care; quality indicators, health care. RESUMOObjetivo: caracterizar o perfil gineco-obstétrico e identificar os principais indicadores de qualidade do pré-natal de gestantes acompanhadas em uma Unidade Básica de Saúde da Família (UBASF). Métodos: estudo documental, retrospectivo e quantitativo, com amostra de 38 gestantes. Utilizou-se um formulário abordando aspectos de caracterização da amostra e dos indicadores do Programa de Humanização no Pré-Natal e Nascimento (PHPN). O projeto de estudo foi aprovado pelo Comitê de Etica em Pesquisa da UNIFOR (número de protocolo 039/2009). Resultados: predominaram no estudo gestantes com idades entre 15 e 35 anos, Ensino Fundamental, com companheiro fixo, multigestas, com baixo peso e que tiveram parto vaginal. Em relação ao PHPN, observou-se que 63,2% das grávidas não iniciaram o pré-natal até a 14ª semana de gestação; 52,6% não realizaram seis ou mais consultas; 94,7% realizaram a imunização contra o tétano; 65,8% participaram de atividades educativas sobre o exame das mamas e 68,4% receberam orientações sobre aleitamento materno. A maioria das gestantes não realizou sorologias para hepatite B, toxoplasmose e HIV. Apenas uma mulher (2,6%) realizou o exame citopatológico de colo uterino no período gravídico. Conclusão: constatou-se uma assistência pré-natal inadequada, pois não foram cumpridos os critérios mínimos preconizados pelo PHPN. Descritores: saúde materno-infantil; cuidado pré-natal; qualidade da assistência à saúde; atenção primária à saúde; indicadores de qualidade em assistência à saúde.  RESUMEN Objetivo: caracterizar el perfil gineco-obstétrico y determinar los principales indicadores de la calidad de la atención prenatal de mujeres embarazadas atendidas en una Unidad Básica de Salud de la Familia (UBASF). Métodos: estudio documental, retrospectivo y cuantitativo, con muestras de 38 mujeres. Utiliza un instrumento sobre características y indicadores del Programa de Humanización del Prenatal y Nacimiento (PHPN). Se analizaron datos como la documentación pertinente. El estudio fue aprobó por parte del Comité de Ética de la UNIFOR (número de registro 039/2009). Resultados: Predominaron en este estudio mujeres de 15 a 35 años, con educación primaria, compañero fijo, multigravidas, bajo peso y tenían parto vaginal. Mostró que 63,2% de las mujeres embarazadas no han iniciado la atención prenatal hasta la 14ª semana de gestación; 52,6% no tenían seis o más consultas; 94,7% se sometió a la inmunización contra el tétanos; 65,8% participaron de actividades educativas sobre examen de los senos y 68,4% recibieron orientación sobre la lactancia materna. La mayoría de las mujeres no realizaron la serología para hepatitis B, toxoplasmosis y VIH. Sólo una mujer (2,6%) realizó el examen cytopathologic del cuello del útero durante el embarazo. Conclusión: Existe una inadecuada atención prenatal, ya que no han alcanzado los criterios mínimos recomendados por el PHPN. Descriptores: salud materno-infantil;  atención prenatal; calidad de la atención de salud; atención primaria de salud; indicadores de calidad de la atención de salud.   


Author(s):  
Hugo Carradinha

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.


2018 ◽  
Vol 23 (4) ◽  
pp. 269-280 ◽  
Author(s):  
Emmanuel Anongeba Anaba ◽  
Aaron Asibi Abuosi

Purpose Adolescents are more exposed to risky health behaviors. However, many adolescents do not seek health care due to the poor quality of care. The purpose of this paper is to assess health care quality in adolescent clinics in Tema, a suburb of Ghana. Design/methodology/approach Cross-sectional survey design was adopted to collect data from 365 adolescent respondents. Data were analyzed with the aid of Statistical Package for Social Science (version 20) using descriptive statistics and multiple linear regression. Findings The results demonstrate that adolescents perceived quality of care in adolescent clinics to be good. The significant predictors of adolescents’ overall perceptions of quality of care were provider competencies (β=0.311, p<0.01), adolescent’s health literacy (β=0.359, p<0.01), appropriate package of services (β=0.093, p<0.05), and equity and non-discrimination (β=0.162, p<0.01). Research limitations/implications The study was conducted in an urban setting. Therefore, the generalization of findings must be done with caution. Originality/value Adolescent health care quality in Ghana is below expectation. However, it has received little attention from researchers. This study provides empirical evidence for adolescent health care quality improvement in developing countries like Ghana.


2020 ◽  
Vol 13 (3) ◽  
pp. 271-277
Author(s):  
Zahra Zarei ◽  
Somayeh Hesam ◽  
Shaghayegh Vahdat ◽  
Alireza Oliaei Manesh

Introducction. Strategic purchasing is an important component of financing in the health system. It can enhance productivity, justice, and accountability in the health care delivery in case of considering the quality. This study, which was conducted as a systematic review, was aimed at investigating the status of quality in five domains of strategic purchasing in the health system to answer what, for whom, from whom, how to buy, and how much to buy. Material and Methods: This study systematically reviewed the articles published in the databases of Web of Sciences (WOS), Scopus, PubMed, Medline via Ovid, Embase from 2000 to October 2019. The keywords used to search the databases included the following: Health Care Sector, Delivery of Health Care, Quality Assurance, Quality Improvement, and Strategic Purchasing. A total of 182 articles were selected and reviewed by four researchers. Articles with irrelevant content were excluded. Data of the selected articles were analyzed using the content analysis method. Results: Of the 182 articles collected through searching the selected databases, 16 articles were analyzed. Based on the results of this study, strategic purchasing in the health system results in the delivery of services with higher quality. Conclusion: Strategic purchasing can enhance the performance of the health system through choosing the most appropriate provider and the most appropriate payment method, along with equity in providing quality health care services.


2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.


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