World Health Organization : Year 1996 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 96.2: Proceedings of a Pre-Isqua Meeting

By Humbrto, Dr.

Book Id: WPLBN0000139422
Format Type: PDF eBook
File Size: 1.6 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1996 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 96.2: Proceedings of a Pre-Isqua Meeting
Author:	Humbrto, Dr.
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Dr, H. (n.d.). World Health Organization : Year 1996 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 96.2. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
EXECUTIVE SUMMARY In recent years, the number of developing countries that are actively engaged in the introdu~tion of quality assurance (QA) programmes into their health systems has steadily grown. ?'he increasing interest in and promise of QA has brought about the need for more communication and sharing of experiences. Over thc past couple of years, special meetings havc been held in conjunction with the annual congresses of ISQua. The purpose of these meetings has been to provide a fon~mfo r the specific concerns and interests of developing countries with regard to quality assurance. During thc most recent conference held by the International Society for Quality in Health Care in St Johns, Newfoundland, in May 1995, such a pre-conference mecting was held for the third time with participants from twenty countries. This most recent meeting was organized by the World Health Organization and the Pan-American Health Organization and was jointly sponsored with the Agency for International Development, the Quality Assurance Projcct,

Table of Contents
TABLE OF CONTENTS EXECUTIVE SUMMARY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. INTRODUCTION....................................................3 1.1 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 1.2 Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 1.3 Content of the pre-conference . . . . . . . . . . . . . .4 1.4 Country presentations . . . . . . . . . . . . . . . . . . . .5 2 . DISCUSSION GR08JPS . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.1Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.2 Quality ofstructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . !I 2.2.1 Main features of' accreditation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y 2.2.2 Evaluation of accreditation programmes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.2.3 Drawbacks of accreditation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? 2.2.4 Incentives for accreditation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2.2.5 Particular concerns for staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 2.3Quality of process and outconle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I ; 2.3.1 Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.3.2.Outcome measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.3.3 Docurnentation and research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2.3.4 Xncentivcs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2.4 Integrated approach to improving the quality of health care . . . . . . . . . . . . . . . . . . . . . 15 2.4.1 Institutional framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 5 2.4.2 Organizatiorl of quality assurance programmes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2.4.3 Capacity building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2.4.4 Financial resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2.4.5 Cornrnuncatlon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 2.5 Summary recotnmcndatiors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ANNEXES Annex I : I.ist of Participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 Annex 2: Opening remarks by Dr E . Tarimo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2 Anncx 3: Introtiuction to quality assurance methodologies. by Dr E . Reerink . . . . . . . . . A-3 Annex 4: lmplernentation of quality assurance in latin American and Caribbean Hospitals through standards and indicators. by Dr W . Novaes . . . . . . . . . . . . . . . . . . . . . A-4 Annex 5: The Quality Assurance Project. by Dr Tisna Veldhuyzen van Zanten.........................................A-5