Download e-book for iPad: Quality Improvement in Primary Health Care: A Practical by A.F. Al-Assaf, M. Sheikh

By A.F. Al-Assaf, M. Sheikh

ISBN-10: 9290212969

ISBN-13: 9789290212966

Caliber is an instantaneous final result of the first future health care ideas of fairness accessibility cost-effectiveness sustainability and partnership with the neighborhood. consequently caliber coverage and development in basic well-being care keeps to most sensible the time table for many international locations of the realm together with these within the WHO jap Mediterranean zone. This handbook describes the idea that and functions of caliber in basic well-being care settings in an easy and straightforward layout. as well as explaining a number of caliber administration versions and strategies the guide offers case reports that tackle the issues usually confronted by way of future health care companies. The handbook will help in opting for and choosing possibilities for development and in performing on them to accomplish larger overall healthiness results.

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Extra resources for Quality Improvement in Primary Health Care: A Practical Guide (WHO Regional Publications Eastern Mediterranean Series)

Example text

Through these assessment methods, comparative evaluation of the quality of service delivery at the different levels of primary health care may also be carried out in order to contribute to national decision-making during the planning and resource allocation process. When performing these comparative assessments, it is important to ensure that the differences in quality between the different facilities or levels of care are not due to factors that are outside the influence of service delivery. Differences in type of patient or disease-related factors that cannot be altered by the health system should be taken in consideration.

The analysis of records may often focus on small numbers of critical quality standards, which may also be taken as representatives of aspects of care, including those that are not directly observed. For example, one can look at the frequencies with which infants are immunized, pregnant women are given critical antenatal care, antibiotics are prescribed, injections are given when drugs could have been taken by mouth, and clinical and laboratory findings which required attention but went unnoticed, or were ignored or dealt with inadequately.

As different primary health care stakeholders—clients, providers, planners and policy-makers—have different perspectives as to what is important, in addition to technical matters, other issues such as equity of access, more value for money and user satisfaction are also to be considered. In order to carry out a systematic problem-solving and correction of quality, it is important to consider the following: • selecting priority health problems that constrain effective delivery of essential interventions • defining underlying causes, such as low coverage, the quality of the activity being inadequate, insufficient allocation of resources and/or inadequate system organization and management • identifying most critical causative factors that inhibit the attainment of the desired outcomes • collecting information about how to eliminate the identified critical inhibiting factors through, for example, improvement of the health care environment, human resources training, improvement of the management and organization process, improvement of the coverage and quality of performance and/or addressing the community dimension of quality using the participatory approach • suggesting and implementing the necessary changes and monitoring their relevance in removing the outlined causes • follow-up and reassessment to define outstanding and/or emerging difficulties/problems and take the necessary action to resolve them.

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Quality Improvement in Primary Health Care: A Practical Guide (WHO Regional Publications Eastern Mediterranean Series) by A.F. Al-Assaf, M. Sheikh


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