Quality of Healthcare Services in Health Systems

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Questions and Answers

What is a key attribute of quality regarding patient experience?

Availability of advanced technology

Responsiveness to the patient (correct)

Duration of hospital stay

Cost-effectiveness of treatments

Which of the following factors is likely important for enhancing the quality of care?

Geographic location of healthcare facilities

Patient compliance with prescriptions

Quantity of healthcare providers available

Upstream management at facility levels (correct)

What does the WHO emphasize in discussions about quality and accessibility?

Solely the financial aspects of healthcare

A focus on technological advancements

A new framework entirely

Existing key issues that need more consideration (correct)

What describes the interaction between health-care providers and patients in terms of outcomes?

Transformation of inputs into health outcomes Signup and view all the answers

What is likely considered an upstream factor influencing health care quality?

Management practices at higher levels Signup and view all the answers

What can be shaped by power relationships in society?

All of the above Signup and view all the answers

Which of the following statements about power relationships is true?

They can influence educational attainment. Signup and view all the answers

How can perceptions of quality be influenced in a society?

By cultural beliefs and norms. Signup and view all the answers

What aspect of society is least likely to be impacted by power relationships?

Natural disasters Signup and view all the answers

Which of the following can lead to an increased perception of power in individuals?

All of the above Signup and view all the answers

Which factor is least likely to shape public perceptions of knowledge?

Global warming Signup and view all the answers

What is an example of how power can shape societal perceptions?

Dominance of one political party Signup and view all the answers

In what way can society's perception of quality be evaluated?

By examining collective historical experiences. Signup and view all the answers

Which option is crucial for understanding the effectiveness of health programs?

Both B and C are correct Signup and view all the answers

What is essential for successfully scaling up key health interventions?

A and C are correct Signup and view all the answers

What aspect is necessary for a full understanding of quality of care in health services?

Appreciation of social norms Signup and view all the answers

Which of the following is NOT typically a focus of patient assessments?

Availability of hospital resources Signup and view all the answers

Which statement best describes open-box evaluation?

It evaluates the internal processes of a health program. Signup and view all the answers

Why is recognizing the multifaceted nature of care quality important?

It helps tailor health interventions to diverse needs. Signup and view all the answers

What role do values and trust play in community health care delivery?

They are foundational for engagement and adherence. Signup and view all the answers

Which of the following elements is least likely to impact quality of care evaluations?

Personal preferences for treatment options Signup and view all the answers

Study Notes

Course Information

Course Code: PHA 038
Course Title: Intro to Health Systems
SAS Number: 4

Lesson Title: Quality of Healthcare Services Based on Healthcare System Resources

Learning Objectives: Analyze the quality of healthcare services, and differentiate the services of a healthcare system.
Materials: Pen, SAS
References: Romualdez et al. (2011), Philippine Health System Review, Nisce et al. (1995): Community Health Nursing Services, Miller and Keane (1987), Encyclopedia and Dictionary of Medicine, Nursing and Allied Health Dizon (1979), Community Health Nursing in the Philippines, Lipsitz (2012), Understanding Health Care as a Complex System.

Productivity Tip

Pomodoro Technique: work in 25-minute intervals with 5-minute breaks.

Introduction to Clinical Quality of Care (2 mins)

Clinical quality of care: Interaction of healthcare providers and patients, transforming inputs into health outcomes.
The care should be effective, evidence-based, and neither underused nor overused.
Clinical processes are critical in measuring quality, rather than just inputs like drugs or equipment.

Activity 1: What I Know Chart (3 mins)

Reflect on pre-existing knowledge about clinical quality of care.
Complete the "What I Know" column.

Activity 2: Main Lesson (50 mins)

Policies for improving population health often focus on expanding access, neglecting quality of care.
Assuming quality naturally improves with increased access is not always correct.

Clinical Quality (Page 3)

Clinical quality of care: Interaction of providers and patients, inputs to outcomes.
The care provided needs to be effective, evidence-based, and not misused or overused.
Measurement of clinical quality is challenging, requiring a strong evidence base for benchmarks.

Perceptions of Quality (Page 4)

Quality judgments can be influenced by non-clinical factors, such as perceived fairness or support.
Patient perceptions of quality can affect service utilization.
In low and middle-income countries, clinical quality may not be the primary concern for patients.
Different perceptions of quality necessitate more investigation of factors affecting quality measures.

Perceptions on the quality of care (Page 5)

Perceptions of quality can relate to non-clinical factors like non-discrimination.
The quality of care perception varies depending on the community, societal context, and types of care facilities.
Perceived quality is impacted by social and cultural norms.
The gap between actual quality and perceived quality needs to be addressed.

Assessment of quality often focuses on individual level (clinical observations, interviews).
Social networks influence perceptions of quality.
Community and family values affect clinical care perspectives.
Social power dynamics and relationships may impact quality perception.

Measurement Challenges (Page 6)

Expanding the perspective to consider the broader context is necessary when measuring quality of care.
Effective measurement of care needs to include clinical and perceived quality.
Clinical quality indicators are helpful, but also need consideration of acceptability, cultural appropriateness and patient-centeredness.

Conclusion (Page 6)

Measuring quality of care requires a broad perspective that acknowledges both clinical indicators and patient perceptions.
Quality is not just technical, includes patient experiences, acceptability, and cultural appropriateness.
Qualitative methods are valuable for understanding patient perceptions of quality.

Activity 3: What I Learned Part 2 (3 mins)

Review and analyze your initial responses to determine any changes in understanding about clinical care.

Activity 4: Check for Understanding (60 mins)

Multiple-choice questions about improving health care services (and quality).

Activity 5: Thinking about Learning (4 mins)

Reflecting on the material covered in the lesson.

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Description

This quiz explores the quality of healthcare services based on healthcare system resources. Participants will analyze the different service provisions and their effectiveness in clinical quality care. Dive into the complexities of healthcare interactions to understand the dynamics better.