Poor quality health services are holding back progress on improving health in countries at all income levels.
Today, inaccurate diagnosis, medication errors, inappropriate or unnecessary treatment, inadequate or unsafe clinical facilities or practices, or providers who lack adequate training an...d expertise prevail in all countries.
The situation is worst in low and middle-income countries where 10 percent of hospitalized patients can expect to acquire an infection during their stay, as compared to seven percent in high income countries. This is despite hospital acquired infections being easily avoided through better hygiene, improved infection control practices and appropriate use of antimicrobials.. At the same time, one in ten patients is harmed during medical treatment in high income countries.
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J Glob Health 2021;11:03082.
Практический подход к разработке политики и стратегии в целях повышения качества медицинской помощи
The WHO Quality Health Services: a planning guide focuses on actions required at the national, district and facility levels to enhance quality of health services, providing guidance on implementing key activities at each of these three levels. It highlights the need for a health systems approach to ...enhance quality of care, with a common understanding on the activities needed by all stakeholders. The guide articulates the key actions required to improve the quality of health services for the entire population. It recognizes that the path varies for each country, district and facility – stimulating the reader to consider multiple factors and entry points for action. This planning guide is for staff working at all levels of the health system (i.e. national, district and facility) who have a role in enhancing the quality of health services. It is also relevant to all stakeholders initiating and supporting action at facility, district and/or national levels both in the public and private sectors.
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In fragile, conflict-affected and vulnerable settings, delivery of quality health services faces significant challenges, including disruption of a routine health service organization and delivery systems, increased health needs, complex and unpredictable resourcing issues, and vulnerability to multi...ple public health crises. Despite the difficulty of addressing quality in such settings, the necessity for action is acute, given the significant health needs of the populations in these environments and the increasing numbers of people for whom such settings are home.
This manual has been developed to provide a starting point for multi-actor efforts and actions to address quality of care in the most challenging settings. This includes practical approaches to action planning and implementation of a contextualised set of quality interventions.
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Approche pratique de formulation d’une politique et d’une stratégie pour l’amélioration de la qualité des soins
A practical approach for developing policy and strategy to improve quality of care
The handbook outlines an approach for the development of national policies and strategies to improve the quality of care. Such policy and strategy can help clarify the structures, roles and responsibilities within n...ational quality efforts, support the institutionalization of a culture of quality, and secure buy-in from health system leaders and stakeholders
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Un enfoque práctico para elaborar políticas y estrategias destinadas a mejorar la calidad de la atención
La elaboración, mejora y ejecución de las políticas y estrategias nacionales de calidad son una prioridad para los países que se esfuerzan por mejorar el desempeño de sus sistemas de sal...ud. El creciente impulso hacia la cobertura universal de salud se acompaña de la correspondiente conciencia de que un mejor acceso requiere esfuerzos orientados a mejorar la calidad de los servicios de salud para lograr las mejoras deseadas en los resultados en materia de salud. Los países están solicitando asesoramiento para orientar sus esfuerzos en relación con las políticas y estrategias nacionales de calidad. Están adoptando diversos enfoques con múltiples puntos de entrada para mejorar la calidad, y muchos de ellos también están centrando su atención en el nivel subnacional como un ámbito de acción. Sin embargo, el objetivo sigue siendo el mismo: aumentar la calidad de la atención de salud como un punto de entrada crucial para el fortalecimiento de los sistemas de salud, y en último término lograr mejorar la salud de la población.
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