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An overall review of the global efforts towards the assessment of the quality of primary health care

Year 2023, Volume: 10 Issue: 3, 505 - 513, 01.09.2023

Berna Eren

https://doi.org/10.52880/sagakaderg.1281788

Abstract

The quality of health care has been the subject of research for many years. However, the studies have mostly focused on the problems of clinical medicine, and relatively little work has been done on the quality of primary health care. As the health systems around the world are faced with social, economic, and demographical challenges, countries started to lean towards primary health care which can adapt and respond to an ever-changing world. Quality primary health care is shown to provide accessible, affordable, comprehensive, continuous, coordinated and people-centered care in the community. It plays an important role in ensuring equity in health, reducing morbidity and mortality, optimizing efficient use of resources, achieving better health outcomes, and improving the health of populations. Over the past decades, quality improvement has received increasing attention as a systematic approach guided by scientific evidence-based data; and is regarded the crucial component of health systems strengthening. The global health community has made concrete efforts to improve the quality of health care across primary, secondary and tertiary levels of health systems. Several organizations have developed frameworks and quality indicators to be used as quality assessment tools, and countries have defined their own national frameworks, quality indicators and standards to assess the quality of primary health care. The current study aims to provide a chronological review of the global efforts towards quality assessment in primary health care.

Keywords

Quality of health care Primary health care Quality of primary health care Quality assessment Quality indicators

References

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Birinci basamak sağlık hizmetlerinin kalitesinin değerlendirilmesine yönelik küresel çabaların genel değerlendirmesi

Year 2023, Volume: 10 Issue: 3, 505 - 513, 01.09.2023

Berna Eren

https://doi.org/10.52880/sagakaderg.1281788

Abstract

Sağlık hizmetlerinin kalitesi uzun yıllardır araştırma konusu olmuştur. Bununla birlikte, çalışmalar çoğunlukla klinik tıbbın sorunlarına odaklanmış; birinci basamak sağlık hizmetlerinin kalitesi konusunda nispeten daha az çalışma yapılmıştır. Tüm dünyada sağlık sistemlerinin karşı karşıya kaldıkları sosyal, ekonomik ve demografik zorluklar sonucunda, ülkeler, sürekli değişen dünyaya uyum sağlayabilen ve yanıt verebilen birinci basamak sağlık hizmetlerine yönelmeye başlamışlardır. Kaliteli birinci basamak sağlık hizmetlerinin toplumda erişilebilir, karşılanabilir, kapsamlı, sürekli, koordine ve insan merkezli bakım sağladığı gösterilmiştir. Sağlıkta hakkaniyetin sağlanmasında, hastalık ve ölüm oranlarının azaltılmasında, kaynakların en verimli şekilde kullanılmasında, daha iyi sağlık sonuçlarına ulaşılmasında ve toplumların sağlığının iyileştirilmesinde önemli bir rol oynamaktadır. Kalite iyileştirme yaklaşımı, bilimsel kanıta dayalı verilerin rehberliğinde sistematik bir yaklaşım olarak, son onyıllarda giderek artan bir ilgi görmüş ve sağlık sistemlerinin güçlendirilmesinin önemli bir bileşeni olarak kabul edilmiştir. Küresel sağlık camiası, sağlık sistemlerinin birinci, ikinci ve üçüncü basamak düzeylerinde sağlık hizmetlerinin kalitesini iyileştirmek için somut çabalar göstermiştir. Çeşitli kuruluşlar kalite değerlendirme aracı olarak kullanılmak üzere çerçeveler ve kalite göstergeleri geliştirmiş; ülkeler birinci basamak sağlık hizmetlerinin kalitesini değerlendirmek için kendi ulusal çerçevelerini, kalite göstergelerini ve standartlarını tanımlamıştır. Bu çalışma, birinci basamak sağlık hizmetlerinde kalite değerlendirmesine yönelik küresel çabaların kronolojik olarak değerlendirilmesini amaçlamaktadır.

Keywords

Sağlık hizmetlerinin kalitesi Birinci basamak sağlık hizmetleri Birinci basamak sağlık hizmetlerinin kalitesi Kalite değerlendirmesi Kalite göstergeleri

References

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  • Alzoubi, M. M., Hayati, K. S., Rosliza, A. M., Ahmad, A. A., & Al-Hamdan, Z. M. (2019). Total quality management in the health-care context: Integrating the literature and directing future research. Risk Manag Healthc Policy, 12, 167-177. https://doi.org/10.2147/RMHP.S197038
  • Arvidsson, E., Dahlin, S. & Anell, A. (2021). Conditions and barriers for quality improvement work: A qualitative study of how professionals and health centre managers experience audit and feedback practices in Swedish primary care. BMC Fam Pract.,22, 113. https://doi.org/10.1186/s12875-021-01462-4
  • Australian Commission on Safety and Quality in Health Care. (2021). National Safety and Quality Primary and Community Healthcare Standards. ACSQHC.
  • Bowie, P., McNab, D., Ferguson, J., de Wet, C., Smith, G., MacLeod, M., McKay, J., & White, C. (2015). Quality improvement and person-centredness: A participatory mixed methods study to develop the 'always event' concept for primary care. BMJ open, 5(4), e006667. https://doi.org/10.1136/bmjopen-2014-006667
  • Busse, R., Panteli, D., & Quentin, W. (2019). An introduction to healthcare quality: defining and explaining its role in health systems. In: R. Busse, N. Klazinga, D. Panteli, & W. Quentin, (Eds.), improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies. (Health Policy Series, 53). World Health Organization.
  • Canadian Institute for Health Information. (2016). Primary Health Care in Canada: A Chartbook of Selected Indicator Results. Canadian Institute for Health Information.
  • Chun, J., & Bafford, A. C. (2014). History and background of quality measurement. Clin Colon Rectal Surg., 27(1), 5-9. https://doi.org/10.1055/s-0034-1366912
  • Council of Europe. (1997). The development and implementation of quality improvement systems (QIS) in health care. Recommendation No. R (97) 17 and explanatory memorandum. Council of Europe. Crosby, P. B. (1979). Quality is free: The art of making quality. McGraw Hill.
  • Deming, W. E. (1982). Out of the crisis. Center for Advanced Engineering Study, Massachusetts Institute of Technology.
  • de Silva, D. (2014). Helping measure person-centred care: Evidence review. The Health Foundation. https://www.health.org.uk/sites/default/files/HelpingMeasurePersonCentredCare.pdf Donabedian, A. (1980). The definition of quality and approaches to its assessment. Michigan Health Administration Press.
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  • European Commission. (2010). EU Actions on Patient Safety and Quality of Healthcare. European Commission, Healthcare Systems Unit. European Commission.
  • Feigenbaum, A. V. (1951). Quality control: Principles, practice, and administration. McGraw-Hill. GbR Zentralstelle der Deutschen Ärzteschaft zur Qualitätssicherung in der Medizin. (2009). Programm für Nationale VersorgungsLeitlinien von BÄK, KBV und AWMF. Qualitätsindikatoren - Manual for Autoren. Make a book.
  • Gérvas, J., & Fernández, M. P. (2006). Western European best practice in primary healthcare. European Journal of General Practice, 12(1), 30-33. https://doi.org/10.1080/13814780600757187 Gilmore, H. L. (1974). Product conformance cost. Quality Progress, 6(7), 16–9.
  • Government of India. (2012). Indian Public Health Standards (IPHS): Guidelines for Primary Health Centres Revised 2012. Directorate General of Health Services Ministry of Health & Family Welfare.
  • Groene, O. (2011). Patient centredness and quality improvement efforts in hospitals: rationale, measurement, implementation. International Journal for Quality in Health Care, 23(5), 531–537. https://doi.org/10.1093/intqhc/mzr058
  • Grol, R. (2006). Quality Development in Health Care in the Netherlands. The Commonwealth Fund. Heath, I., Rubinstein, A., Stange, K. C., & van Driel, M. L. (2009). Quality in primary health care: a multidimensional approach to complexity. BMJ, 338:b1242. https://doi.org/10.1136/bmj.b1242 Helsedirektoratet. (n.d.). National Health Care Quality Indicators. https://www.helsedirektoratet.no/english/national-health-care-quality-indicators
  • Hines, K., Mouchtouris, N., Knightly, J. J., & Harrop, J. (2020). A Brief History of Quality Improvement in Health Care and Spinal Surgery. Global Spine Journal, 10(1S), 5S-9S. https://doi.org/10.1177/2192568219853529
  • Huber. C.A., Scherer, M., Rapold, R., & Blozik, E. (2020). Evidence-based quality indicators for primary healthcare in association with the risk of hospitalisation: A population-based cohort study in Switzerland. BMJ Open; 10:e032700. https://doi.org/10.1136/bmjopen-2019-032700
  • Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press.
  • Institute of Medicine, Committee to Design a Strategy for Quality Review and Assurance in Medicare, & Lohr, K. N. (1990). Medicare: A strategy for quality assurance: Volume 1. National Academies Press.
  • International Health Facility Assessment Network. (2008). Health Facility Assessment. Working Paper Series. WP-08-107. MEASURE Evaluation.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Review Article
Authors

Berna Eren 0000-0003-1459-3663

Publication Date September 1, 2023
Acceptance Date July 11, 2023
Published in Issue Year 2023 Volume: 10 Issue: 3

Cite

APA Eren, B. (2023). An overall review of the global efforts towards the assessment of the quality of primary health care. Sağlık Akademisyenleri Dergisi, 10(3), 505-513. https://doi.org/10.52880/sagakaderg.1281788
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