The perception of health care quality by primary health care managers in Ukraine

Abstract Background Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. Methods An online survey was conducted as part of...

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Main Authors: Valentyna Anufriyeva, Milena Pavlova, Tetiana Stepurko, Wim Groot
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-08300-y
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author Valentyna Anufriyeva
Milena Pavlova
Tetiana Stepurko
Wim Groot
author_facet Valentyna Anufriyeva
Milena Pavlova
Tetiana Stepurko
Wim Groot
author_sort Valentyna Anufriyeva
collection DOAJ
description Abstract Background Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. Methods An online survey was conducted as part of the Ukrainian-Swiss project “Medical Educational Development” in April–May 2019 based on the contact list of USAID project “Health Reform Support”, and additionally on the database of the National Health Service of Ukraine and other channels. Data were analyzed using descriptive statistics and qualitative data analysis. Results In total, 302 health care managers took part in the study. The majority of primary health care managers perceive quality in health care as process quality. They associate quality mostly with compliance to standards. At the same time, primary health care managers prefer to assess outcome quality via a system of indicators and feedback. There appears to be a lack of consensus about health care quality. This may be due to a lack of awareness of the national strategy for better quality of health care service. Conclusions Our study provides new insights into primary care managers' perceptions of health care quality in Ukraine. The absence of a clear consensus about quality complicates the discussion about quality and how to measure quality in health care. This appears to be one of the obstacles to system-wide quality improvement.
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spelling doaj.art-ba82af891e0c404f851aceead3533cf62022-12-22T01:25:40ZengBMCBMC Health Services Research1472-69632022-07-0122111110.1186/s12913-022-08300-yThe perception of health care quality by primary health care managers in UkraineValentyna Anufriyeva0Milena Pavlova1Tetiana Stepurko2Wim Groot3Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht UniversityDepartment of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht UniversityUkrainian-Swiss Project “Medical Education Development”, Swiss Tropical and Public Health InstituteDepartment of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht UniversityAbstract Background Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. Methods An online survey was conducted as part of the Ukrainian-Swiss project “Medical Educational Development” in April–May 2019 based on the contact list of USAID project “Health Reform Support”, and additionally on the database of the National Health Service of Ukraine and other channels. Data were analyzed using descriptive statistics and qualitative data analysis. Results In total, 302 health care managers took part in the study. The majority of primary health care managers perceive quality in health care as process quality. They associate quality mostly with compliance to standards. At the same time, primary health care managers prefer to assess outcome quality via a system of indicators and feedback. There appears to be a lack of consensus about health care quality. This may be due to a lack of awareness of the national strategy for better quality of health care service. Conclusions Our study provides new insights into primary care managers' perceptions of health care quality in Ukraine. The absence of a clear consensus about quality complicates the discussion about quality and how to measure quality in health care. This appears to be one of the obstacles to system-wide quality improvement.https://doi.org/10.1186/s12913-022-08300-yHealth care qualityPerceived qualityService qualityHealth care managementPrimary health careUkraine
spellingShingle Valentyna Anufriyeva
Milena Pavlova
Tetiana Stepurko
Wim Groot
The perception of health care quality by primary health care managers in Ukraine
BMC Health Services Research
Health care quality
Perceived quality
Service quality
Health care management
Primary health care
Ukraine
title The perception of health care quality by primary health care managers in Ukraine
title_full The perception of health care quality by primary health care managers in Ukraine
title_fullStr The perception of health care quality by primary health care managers in Ukraine
title_full_unstemmed The perception of health care quality by primary health care managers in Ukraine
title_short The perception of health care quality by primary health care managers in Ukraine
title_sort perception of health care quality by primary health care managers in ukraine
topic Health care quality
Perceived quality
Service quality
Health care management
Primary health care
Ukraine
url https://doi.org/10.1186/s12913-022-08300-y
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