Crossing the quality chasm in resource-limited settings.

Autor: Smith-Rohrberg Maru, Duncan, Andrews, Jason, Schwarz, Dan, Schwarz, Ryan, Acharya, Bibhav, Ramaiya, Astha, Karelas, Gregory, Rajbhandari, Ruma, Mate, Kedar, Shilpakar, Sona
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Zdroj: Globalization & Health; 2012, Vol. 8 Issue 1, p41-45, 5p
Abstrakt: Over the last decade, extensive scientific and policy innovations have begun to reduce the "quality chasm"--the gulf between best practices and actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely to be equally acute and deadly in resource-limited areas. While health systems have begun to be scaled up in impoverished areas, scale-up is just the foundation necessary to deliver effective healthcare to the poor. This perspective piece describes a vision for a global quality improvement movement in resource-limited areas. The following action items are a first step toward achieving this vision: 1) revise global health investment mechanisms to value quality; 2) enhance human resources for improving health systems quality; 3) scale up data capacity; 4) deepen community accountability and engagement initiatives; 5) implement evidence-based quality improvement programs; 6) develop an implementation science research agenda. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index