Spread of quality improvement in healthcare across South Asian subcontinent

BMJ Open Quality

article

Vikram Datta¹  Nigel Livesley³ 

[1] Neonatology , Kalawati Saran Children's Hospital;Neonatology , Lady Hardinge Medical College;Independent Healthcare Consultant

关键词: healthcare quality improvement;    maternal health services;    teams;    patient safety;    paediatrics;   

DOI  :  10.1136/bmjoq-2021-001600

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Poor quality of care is a significant bottleneckin our quest to achieve universal healthcare asenvisaged in Sustainable Development Goal3.8.1 Globally, nearly 5 million lives are lostannually due to suboptimal quality of care.Poor quality now contributes to more deathsthan lack of access to care. Health providersin low-income and middle-income countries(LMICs) often perform less than half ofrecommended evidence-based care actions ashas been detailed in the recent report of theLancet Global Health Commission.2 A significant ‘know-do gap’ exists concerning howclinical teams deliver care compared with theexisting evidence. This gap is explained bythe interplay of complex human and psychosocial factors which influence service deliveryat the point of care. More frequently, effortsto improve quality of care focus on buildingan individual’s knowledge and skills (eg,training and supervision) without addressingcomplex teamwork, organisational and structural issues. In contrast, quality improvement(QI) methods use approaches that healthworkers can adopt to address such barriersusing a common-sense approach. Bataldenaptly defines QI as a combined and unceasingeffort of everyone—healthcare professionals,patients and their families, researchers,payers, planners and educators—to makethe changes that will lead to better patientoutcomes (health), better system performance (care) and better professionaldevelopment.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND