Contents

Contents tagged: quality of health care

July 7, 2017 Global Publication

WHO: What is people-centred care?

Globally, 1 in 20 people still lacks access to essential health services that could be delivered at a local clinic instead of a hospital. And where services are accessible, they are often fragmented and of poor quality. WHO is supporting countries to progress towards universal health coverage by designing health systems around the needs of people instead of diseases and health institutions, so that everyone gets the right care, at the right time, in the right place.

Sept. 22, 2016 Europe Publication

Continuity of clinical management and information across care levels: perceptions of users of different healthcare areas in the Catalan national health system

The integration of health care has become a priority in most health systems, as patients increasingly receive care from several professionals in various different settings and institutions, particularly those with chronic conditions and multi-morbidities. Continuity of care is defined as one patient experiencing care over time as connected and coherent with his or her health needs and personal circumstances. The objective is to analyse perceptions of continuity of clinical management and information across care levels and the factors influencing it, from the viewpoint of users of the Catalan national health system.

Care continuity across care levels is experienced by patients in the areas studied, with certain exceptions that highlight where there is room for improvement. Influencing factors offer valuable insights on where to direct coordination efforts.

 

Sept. 19, 2016 Americas Publication

Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition

This article summarise, a personal view of the author (Paul D. Cleary dean of the Yale School of Public Health), on the available research, concerning measurement of “patient satisfaction” and “patient care experience”. Author argues that patient experiences measurement efforts are being devoted to providing high-quality patient-centered care. Some indicators and surveys are discussed in terms of their reliability, validity and correlation across individuals and settings with other quality indicators.

Special attention is paid to the Consumer Assessment of Healthcare Providers and Systems (CAHPS), launched in 1995 by the Agency for Healthcare Research and Quality (AHRQ). The CAHPS surveys are nowadays tailored to different care settings, so that results can be used to help identify aspects of care that can be targeted to improve patient experiences.

Some contrasting arguments are also discussed on the ability of patients to evaluate the quality of their care. Author proposes a review of currently ...

May 24, 2016 Europe Publication

Assessing health services delivery performance with hospitalizations for ambulatory care sensitive conditions

This document was published by the WHO Regional Office for Europe and explores means of measuring health system delivery performance. It sets out to review evidence related to ambulatory care sensitive condition hospitalizations (ACSHs) as a proxy indicator of health services delivery (HSD) performance. Based on ACSHs, this review identifies specific vantage points for HSD improvements. Explored concepts and evidence is further operationalized in a guide for country studies on ACSCs.

ACSCs are an example of acute, chronic, or vaccine-preventable conditions that can serve as markers for assessing HSD performance. Examples of ACSCs include chronic obstructive pulmonary disease (COPD), diabetes, asthma and angina, and can be described as those conditions where it is possible, to a large extent, to prevent acute exacerbations and reduce the need for hospitalizations through strong primary health care-based services delivery.

This work has set out to review the different approaches to measuring ACSCs set in ...

April 21, 2016 Americas Publication

Experiencing Integrated Health: Ontarians’ views of health care coordination and communication

Health Quality Ontario (HQO) has published an analysis using data from the 2014 Commonwealth Fund International Health Policy Survey of Older Adults in order to identify, from a patient perspective, how well different parts of health system are working together.

The HQO extracted a sample with the population from Ontario; Ontarians reported similar results as top-ranking countries in some indicators related to coordination of care; about 80% of Ontarians said they received help from their regular physicians to coordinate their care with other providers.

The sample from Ontario population made able to identify some key points where Canadian Health System can improve in order to get better communication and coordination of care.

March 30, 2016 Europe Event

9th European Public Health Conference

The 9th European Public Health Conference will be held in Vienna with the theme of ‘All for Health, Health for All’. A healthy population is a key requirement for the achievement of society’s goals. Good health for all enhances quality of life, improves workforce productivity, increases the capacity for learning, strengthens families and communities, supports sustainable habitats and environments, and contributes to security, poverty reduction and social inclusion. Increasingly, communities, employers and industries are expecting and demanding strong coordinated government action to promote health in all sectors of society and avoid duplication and fragmentation of actions.

Abstracts can be submitted from 1 February until 1 May 2016 (23:59 Central European Time).

Registration for the 9th EPH Conference opens 1 March 2016.

For more information, click here:9th EPH Conference.

March 30, 2016 Global Event

ISQua’s 33rd International Conference on quality and safety in health care

The International Society for Quality in Health Care (ISQua) is delighted to collaborate with the Japan Council for Quality Health Care (JQ) to host the 33rd International scientific meeting on quality and safety in health care in Tokyo, Japan 16 - 19 October 2016. The theme is "Change and Sustainability in Healthcare Quality: the Future Challenges"

For more information, click here: TOKYO 2016.

 

March 2, 2016 Europe Publication

The impact of electronic health records on healthcare quality: a systematic review and meta-analysis

Objective: To assess the impact of electronic health record (EHR) on healthcare quality, we hence carried out a systematic review and meta-analysis of published studies on this topic.

Methods: PubMed, Web of Knowledge, Scopus and Cochrane Library databases were searched to identify studies that investigated the association between the EHR implementation and process or outcome indicators. Two reviewers screened identified citations and extracted data according to the PRISMA guidelines. Meta-analysis was performed using the random effects model for each indicator. Heterogeneity was quantified using the Cochran Q test and I2 statistics, and publication bias was assessed using the Egger’s test.

Results: Of the 23 398 citations identified, 47 articles were included in the analysis. Meta-analysis showed an association between EHR use and a reduced documentation time with a difference in mean of −22.4% [95% confidence interval (CI) = −38.8 to −6.0%; P < 0.007]. EHR resulted also ...

June 1, 2015 Western Pacific Publication

People-centred health care

In recent years, there has been increasing interest in the patient’s perspective of health care and how health systems can better respond to the needs of all health care stakeholders and constituencies in a holistic manner. Previous recommendations of Member States through the WHO Regional Committees for the Western Pacific and South-East Asia reflect the need to pursue work in the following: equity and fairness into policies; the development of programmes firmly grounded in ethical principles; the quality of health care and patient safety; human dignity, patients’ rights and needs, and the role of families, culture and society; the broader psychosocial and cultural determinants of health; and ethics related to medical practice, research and education. These issues have widespread relevance and significance. Improving health care quality and safety and enhancing the people’s experience of care require attention not only to health system design but also to the focus ...