Crossing the quality chasm in resource-limited settings
Bibliographic Data
| ID | 19534350 |
|---|---|
| Authors | Duncan Maru (0000-0002-5923-6910, Dana-Farber/Harvard Cancer Center, corresponding author), Jason R Andrews (0000-0002-5967-251X, Massachusetts General Hospital), Jason Andrews, Dan Schwarz (0000-0002-6975-4519, Boston Children's Hospital), Ryan Schwarz (0000-0001-8486-8373, Brigham and Women's Hospital), Bibhav Acharya (0000-0002-8555-7785, University of California, San Francisco), A Ramaiya (0000-0002-6807-2858), Gregory Karelas, Ruma Rajbhandari (0000-0001-8281-550X, Brigham and Women's Hospital), Kedar Mate (0000-0001-7579-6697, Brigham and Women's Hospital), Sona Shilpakar |
| Year | 2012 |
| Volume | 8 |
| Issue | 1 |
| Pages | 41 |
| Publication date | 2012-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Globalization and Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-8603 • E-ISSN: 1744-8603 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/1744-8603-8-41 |
| PMID | 23193968 |
| PMCID | PMC3526495 |
| OpenAlex | W2147224151 |
| Language | EN |
| Citations received | 3 |
| References cited | 22 |
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
Accountability · Business · Economic growth · Economics · Environmental resource management · Health care · Health services research · Knowledge management · Political science · Public health · Public relations · Quality management · Social policy · Computer Science · Global Maternal and Child Health · Healthcare cost, quality, practices · Medicine · Nursing · Primary Care and Health Outcomes · Health Policy · Marketing
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| Citations per year | 0.3 |
|---|---|
| Citation span | 2016 - 2021 (6) |
| Highly cited | No |