Crossing the quality chasm in resource-limited settings

<p>Abstract</p> <p>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...

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Main Authors: Maru Duncan, Andrews Jason, Schwarz Dan, Schwarz Ryan, Acharya Bibhav, Ramaiya Astha, Karelas Gregory, Rajbhandari Ruma, Mate Kedar, Shilpakar Sona
Format: Article
Language:English
Published: BMC 2012-11-01
Series:Globalization and Health
Subjects:
Online Access:http://www.globalizationandhealth.com/content/8/1/41
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author Maru Duncan
Andrews Jason
Schwarz Dan
Schwarz Ryan
Acharya Bibhav
Ramaiya Astha
Karelas Gregory
Rajbhandari Ruma
Mate Kedar
Shilpakar Sona
author_facet Maru Duncan
Andrews Jason
Schwarz Dan
Schwarz Ryan
Acharya Bibhav
Ramaiya Astha
Karelas Gregory
Rajbhandari Ruma
Mate Kedar
Shilpakar Sona
author_sort Maru Duncan
collection DOAJ
description <p>Abstract</p> <p>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.</p>
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spelling doaj.art-99cf41ad3810444286c6970ecb5581d52022-12-21T21:21:07ZengBMCGlobalization and Health1744-86032012-11-01814110.1186/1744-8603-8-41Crossing the quality chasm in resource-limited settingsMaru DuncanAndrews JasonSchwarz DanSchwarz RyanAcharya BibhavRamaiya AsthaKarelas GregoryRajbhandari RumaMate KedarShilpakar Sona<p>Abstract</p> <p>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.</p>http://www.globalizationandhealth.com/content/8/1/41Resource-limitedHealth systemGlobal healthQuality improvement
spellingShingle Maru Duncan
Andrews Jason
Schwarz Dan
Schwarz Ryan
Acharya Bibhav
Ramaiya Astha
Karelas Gregory
Rajbhandari Ruma
Mate Kedar
Shilpakar Sona
Crossing the quality chasm in resource-limited settings
Globalization and Health
Resource-limited
Health system
Global health
Quality improvement
title Crossing the quality chasm in resource-limited settings
title_full Crossing the quality chasm in resource-limited settings
title_fullStr Crossing the quality chasm in resource-limited settings
title_full_unstemmed Crossing the quality chasm in resource-limited settings
title_short Crossing the quality chasm in resource-limited settings
title_sort crossing the quality chasm in resource limited settings
topic Resource-limited
Health system
Global health
Quality improvement
url http://www.globalizationandhealth.com/content/8/1/41
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