It is well acknowledged today that many low-income countries will have considerable difficulties w.r.t healthcare services. The lack of adequate financial investment, the fragmentation of the delivery of health services, and reduced quality are considered key hindrances to the successful employment of health programs. For this reason, the core focus should be on aiding national and regional decision-makers and managers choose effective planned interventions. 2. Dimensions of Quality Any health organization should pursue to make developments in six areas or dimensions of quality.
Unique governance challenges affecting Global Health Governance from the need to address factors across geographical boundaries and involve a broad range of interests and actors, to addressing health determinants through a multi-sectoral perspective (Dodgson et al., 2002). Lee K. et al (2009) extensively expounded five areas of weaknesses that are detrimental to attaining good GHG. These are policy coherence and coordination; transparency and accountability;
This approach is more individual based. “A key aspect of quality assurance is systematic measurement: monitoring processes, with a feedback loop for error prevention” (CITE, indian name). QA includes activities and programs intended to assure or improve the quality of care in either a healthcare setting or program. This concept includes assessment of quality of care; identification of problems in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps. QA programs enable nursing to be accountable to society for the quality of nursing care provided.
Over time, accountability impact and cost must be evaluated. Quality and measurement theories that abandon the highest levels of appropriateness, will accomplish the healthcare industry evaluates the accountability costs and impacts. Having an understanding of the scrutiny of service, responsibilities, customer satisfaction, effective service and performance, and outcome assessments are all requirements of accountability, which are part of the continuum for accountability (Ledlow & Coppola,
Introduction The United States has made significant investments in healthcare quality measurement and improvement. The emphasis on quality measurement has been viewed as fundamental to systematically improving health system performance. Despite major efforts on the part of both public and private payers to drive quality improvement by mandating measurement and reporting, promoting and funding quality improvement initiatives in the health care delivery system, and attempting to identify and pay for comparatively higher quality, progress has been slow, limited and uneven. System-related issues, such as the complexity, lack of alignment and fragmentation of the US health care system, are frequently cited as reasons for these disappointing results.
For example, in 2003 more than half of Chinese population was uninsured, but after reforms in 2011 more than 90% of the population entitled to some kind of insurance. The question of how UHC reforms have affected equity in health service utilization and access in China has drawn remarkable intention, whereas the equity dimensions are still less positive in terms of socio-economic and geographical differences. Therefore, this paper used 2012 China’s Yearbook of Health Statistics to compares equity in health care system across three provinces, namely Beijing, Anhui, and Ningxia. The main purpose of the paper is to provide an evidence on the inequity of the healthcare system of China based on the different
A disruption or failure to fulfil an essential responsibility would bring serious consequences “downstream.” There would be a failure of the public’s trust in their government’s ability to protect its citizens. The factors which make the Health Care and Public Health Sector even more vulnerable result from its interactions with so many diverse sectors and stakeholders. Any disruption in these partnerships could lead to the disruption of the provision or continuity of essential services to the
They also point to the importance of issues of legitimacy, representation and health system– community relations in community accountability. Overall, community accountability arguably moves beyond community participation in requiring the health system to be responsive to the issues raised through participation. In this context, ‘responsiveness’ can be defined as changes made to the health system on the basis of ideas or concerns raised by, or with, community members through formally introduced deci-sion-making mechanisms. The potential intrinsic and instrumental benefits from strengthening community accountability in health delivery have led to significant resources being used by governments and non-governmental organizations to introduce and improve mechanisms. Some of these initiatives are linked to peripheral health facilities, which are important sources of care for low-income populations (Loewenson et al.
I would like to see why this is the case and understand how inequality is created in the healthcare field. This inequality has continued to sustain itself in the past 100 years and produces large differences in health outcomes between people. Part of the answer lies in what we as a society value and do not value. Looking at structure shows us the value a country places on healthcare and we see that in the United States, it is highly capitalistic and economic based. The United States is unique in that it is the biggest spender on healthcare yet other countries have better health outcomes according to the commonwealth fund (Davis, Stremikis, Schoen, Squires,
Furthermore, the increasing complicity and costs of health care have only served to add strain to the public’s ability to empathise with criticism targeting the industry. Such negative perceptions fuelled by the unscrupulous marketing strategies pharmaceutical companies employ has hampered reasonable progress in the industry (Archie, 2009).