Quality Healthcare Explained

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Questions and Answers

Which of the following best describes 'Quality of Health Care', according to the information presented?

  • The quantity of services provided to patients, ensuring all needs are met.
  • The speed at which patients receive treatment, minimizing wait times.
  • The capacity to achieve desirable goals using legitimate means within the healthcare setting. (correct)
  • The ability to use advanced technology in medical treatments.

According to the WHO (2018), what is a critical aspect of quality health services?

  • Exclusively using the newest, most innovative treatments, regardless of cost.
  • Prioritizing the efficiency of service delivery above all other considerations.
  • Ensuring every patient receives the same standard of care, irrespective of their individual preferences.
  • Providing healthcare services that are based on evidence and meet the needs of those requiring them. (correct)

What does it mean for health services to be 'people-centered'?

  • Healthcare professionals make all decisions without patient input to ensure efficiency.
  • Care is standardized to ensure consistent application across all patients.
  • Care is delivered in a way that responds to individual preferences, needs, and values, aiming to improve the patient's condition. (correct)
  • Services are designed to be easily accessible through centralized locations.

In order to realize the benefits of quality health care, which of the following characteristics should health services possess?

<p>Services should be timely, equitable, integrated and efficient. (C)</p> Signup and view all the answers

Why is 'System Performance Assessment' important in healthcare?

<p>To improve understanding of health systems and enable improvements in their performance. (A)</p> Signup and view all the answers

What does the term 'Accessibility x Quality' refer to in the context of health systems?

<p>Population health outcomes, considering system-wide effectiveness and distribution. (D)</p> Signup and view all the answers

Which of the following is an example of a 'System Building Block'?

<p>Service delivery. (A)</p> Signup and view all the answers

What is the narrow level of Healthcare quality?

<p>Health services level (A)</p> Signup and view all the answers

Which is the following is an example of a patient/community level intervention?

<p>Formalised patient and community engagement and empowerment (D)</p> Signup and view all the answers

What is the role of the intermediate goals, based on the WHO in 2006?

<p>Health workforce (A)</p> Signup and view all the answers

Flashcards

Quality of health care

The ability to achieve desirable goals by using legitimate means.

Quality of health care (extended def.)

The degree to which health services increase likelihood of desired health outcomes and are consistent with current professional knowledge.

Effective health services

Providing evidence-based health care services.

Safe health services

Avoiding harm to people for whom the care is intended.

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People-centered care

Providing care that responds to individual preferences, needs and values.

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Timely health services

Health services must be timely.

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Equitable health services

Health services must be equitable.

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Integrated health services

Health services must be integrated.

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Efficient health services

Health services must be efficient.

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High-quality healthcare system

Health systems achieving overall goals when they achieve improved health, responsiveness, financial protection, and efficiency.

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Study Notes

  • Quality involves effectively utilizing available resources to achieve good outcomes.

Quality of Healthcare

  • Healthcare quality involves using hospital capabilities like staff and equipment to provide services to patients and achieve good results.
  • The ability to achieve desirable goals using legitimate means defines quality healthcare.
  • Quality healthcare is the degree to which health services increase the likelihood of desired outcomes and align with professional knowledge for individuals and populations.

WHO Definition (2018)

  • Effective: Providing evidence-based healthcare services.
    • Services must be effective, produce good results, and have a strong evidence base.
  • Safe: Avoiding harm.
    • Care shouldn't risk patient lives unless the disease's risks outweigh treatment side effects.
  • People-centered: Providing care responsive to individual preferences, needs, and values.
    • Focus on improving the patient's condition.
  • Quality healthcare services should be:
    • Timely
    • Equitable (balanced)
    • Integrated (team-based)
    • Efficient

Health System Frameworks

  • Numerous frameworks have been developed to better understand health systems and assess their performance.
  • These frameworks often include quality as a key goal but differ in defining and describing its contribution.
  • According to the WHO (2006):
    • System building blocks relate to intermediate goals, impacting overall goals and outcomes.
    • System Building Blocks:
      • Service delivery, health workforce, information, medical products, vaccines/tech, financing, leadership/governance
    • Intermediate Goals
      • Access coverage, quality/safety
    • Overall Goals/Outcomes
      • Improved health (level and equity), responsiveness (level and equity), financial protection/fairness, improved efficiency.

Levels of Healthcare Quality

  • Health Services Level:
    • This narrower level includes preventative, acute, chronic, and palliative care.
  • Healthcare System Level:
    • High-quality healthcare systems achieve overall goals like improved health, responsiveness, financial protection, and efficiency.

Quality and Health System Goals

  • Accessibility x Quality = Population health outcomes (system-wide effectiveness, level, and distribution) + Responsiveness (level and distribution).

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