scholarly journals Introductory Chapter: Mortality and Quality of Care Systems in LMICs

2019 ◽  
Author(s):  
Jasneth Mullings ◽  
Affette McCaw Binns ◽  
Camille-Ann Thoms-Rodriguez ◽  
Antoinette Barton-Gooden ◽  
Tomlin Paul
Keyword(s):  
Quality Of Care ◽  
Care Systems

scholarly journals Multidisciplinary Reference Centers: The Care of Neuroendocrine Tumors

2010 ◽  
Vol 6 (6) ◽  
pp. e11-e16 ◽  
Author(s):  
Simron Singh ◽  
Calvin Law
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Neuroendocrine Tumor ◽  
Neuroendocrine Tumors ◽  
Health Care Systems ◽  
Reference Center ◽  
Care Systems ◽  
Provider Experience ◽  
Positive Effect

As providers at a neuroendocrine tumor multidisciplinary reference center, the authors believe these centers have a positive effect on patient and provider experience, and the creation of specialty centers with a focus on improving outcomes and quality of care should be a goal of health care systems.

scholarly journals Guideline-based indicators for adult patients with myelodysplastic syndromes

2020 ◽  
Vol 4 (16) ◽  
pp. 4029-4044 ◽  
Author(s):  
Kristina Stojkov ◽  
Tobias Silzle ◽  
Georg Stussi ◽  
David Schwappach ◽  
Juerg Bernhard ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Myelodysplastic Syndromes ◽  
Best Practice ◽  
Health Care Systems ◽  
Performance Outcomes ◽  
Practice Performance ◽  
Patient Reported ◽  
Agreement Score ◽  
Care Systems

Myelodysplastic syndromes (MDSs) represent a heterogeneous group of hematological stem cell disorders with an increasing burden on health care systems. Evidence-based MDS guidelines and recommendations (G/Rs) are published but do not necessarily translate into better quality of care if adherence is not maintained in daily clinical practice. Guideline-based indicators (GBIs) are measurable elements for the standardized assessment of quality of care and, thus far, have not been developed for adult MDS patients. To this end, we screened relevant G/Rs published between 1999 and 2018 and aggregated all available information as candidate GBIs into a formalized handbook as the basis for the subsequent consensus rating procedure. An international multidisciplinary expert panel group (EPG) of acknowledged MDS experts (n = 17), health professionals (n = 7), and patient advocates (n = 5) was appointed. The EPG feedback rates for the first and second round were 82% (23 of 28) and 96% (26 of 27), respectively. A final set of 29 GBIs for the 3 domains of diagnosis (n = 14), therapy (n = 8), and provider/infrastructural characteristics (n = 7) achieved the predefined agreement score for selection (>70%). We identified shortcomings in standardization of patient-reported outcomes, toxicity, and geriatric assessments that need to be optimized in the future. Our GBIs represent the first comprehensive consensus on measurable elements addressing best practice performance, outcomes, and structural resources. They can be used as a standardized instrument with the goal of assessing, comparing, and fostering good quality of care within clinical development cycles in the daily care of adult MDS patients.

scholarly journals Cooperation amongst insurers on enhancing quality of care: precondition or substitute for competition?

2020 ◽  
pp. 1-17
Author(s):  
Karel C. F. Stolper ◽  
Lieke H.H.M. Boonen ◽  
Frederik T. Schut ◽  
Marco Varkevisser
Keyword(s):  
Quality Of Care ◽  
Health Care Systems ◽  
Managed Competition ◽  
Care Systems ◽  
Adequate Quality ◽  
Three Stages ◽  
The Cost ◽  
Dutch Experience ◽  
The Continuum

Abstract In health care systems based upon managed competition, insurers are expected to negotiate with providers about price and quality of care. The Dutch experience, however, shows that quality plays a limited role in insurer–provider negotiations. It has been suggested that this is partly due to a lack of cooperation among insurers. This raises the question whether cooperation amongst insurers is a precondition or a substitute for quality-based competition. To answer this question, we mapped insurers' cooperating activities to enhance quality of care using a six-stage continuum. The first three stages (defining, designing and measuring quality indicators) may enhance competition, whereas the next three stages (setting benchmarks, steering patients and selective contracting) may reduce it. We investigated which types of insurer cooperation currently take place in the Netherlands. Additionally, we organized focus groups among insurers, providers and other stakeholders to examine their perceptions on insurer cooperation. We find that all stakeholders see advantages of cooperation amongst insurers in the first stages of the continuum and sometimes cooperate in this domain. Cooperation in the next stages is almost absent and more controversial because without adequate quality information, it is difficult to assess whether the benefits outweigh the cost associated with reduced competition.

From “Don't Ask, Just Trust” to “Trust Those Who are Accountable”

2017 ◽  
pp. 924-938
Author(s):  
Vahé A. Kazandjian
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Performance Measurement ◽  
Performance Measures ◽  
Health Care Systems ◽  
Measurement Tools ◽  
Care Systems ◽  
Key Dimensions ◽  
Local Traditions

The past three decades have primarily focused on improving performance across health care providing organizations and even individual professionals. While their interest in performance improvement is global, the strategies across health care systems remain variable and the resulting methods of accountability to select audiences continue to be influenced by tradition and expectation. The purpose of this article is to review the key dimensions of the operationalization of performance measurement and the translation of its findings to statements about quality of care. While significant literature exists on the conceptual debates about the nature of quality, the deciding factor in demonstrating that better quality may have been achieved resides in the acceptability of the measurement tools to translate performance measures into profiles of quality. Fundamentally, the use of the tools is seen as only one component of a successful strategy – the education of various audiences as to what the measures mean not only is a necessary requisite for sound project design but also will determine how the accountability model is shaped in each environment based on the generic measurement tools results, local traditions of care and caring, and expectations about outcomes.

Estimating Costs of an Implementation Intervention

2020 ◽  
Vol 40 (8) ◽  
pp. 959-967
Author(s):  
Todd H. Wagner ◽  
Jean Yoon ◽  
Josephine C. Jacobs ◽  
Angela So ◽  
Amy M. Kilbourne ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Systems ◽  
Sunk Costs ◽  
Lack Of Information ◽  
Implementation Studies ◽  
Evidence Based Treatments ◽  
Care Systems ◽  
The Cost ◽  
Implementing Strategies

Health care systems frequently have to decide whether to implement interventions designed to reduce gaps in the quality of care. A lack of information on the cost of these interventions is often cited as a barrier to implementation. In this article, we describe methods for estimating the cost of implementing a complex intervention. We review methods related to the direct measurement of labor, supplies and space, information technology, and research costs. We also discuss several issues that affect cost estimates in implementation studies, including factor prices, fidelity, efficiency and scale of production, distribution, and sunk costs. We examine case studies for stroke and depression, where evidence-based treatments exist and yet gaps in the quality of care remain. Understanding the costs for implementing strategies to reduce these gaps and measuring them consistently will better inform decision makers about an intervention’s likely effect on their budget and the expected costs to implement new interventions.

Quality of Care

ASHA Leader ◽  
2012 ◽  
Vol 17 (6) ◽  
pp. 2-2
Author(s):  
Dennis Hampton
Keyword(s):  
Quality Of Care

V708: Partial Nephrectomy for Small Renal Masses: An Emerging Quality of Care Concern?

2006 ◽  
Vol 175 (4S) ◽  
pp. 229-229
Author(s):  
David C. Miller ◽  
John M. Hollingsworth ◽  
Khaled S. Hafez ◽  
Stephanie Daignault ◽  
Brent K. Hollenbeck
Keyword(s):  
Quality Of Care ◽  
Partial Nephrectomy ◽  
Small Renal Masses ◽  
Renal Masses
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