Hospital Mortality - a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries

BMC Medicine
Mike EnglishRobert W Snow

Abstract

There is increasing focus on the strength of primary health care systems in low and middle-income countries (LMIC). There are important roles for higher quality district hospital care within these systems. These hospitals are also sources of information of considerable importance to health systems, but this role, as with the wider roles of district hospitals, has been neglected. As we make efforts to develop higher quality health systems in LMIC we highlight the critical importance of district hospitals focusing here on how data on hospital mortality offers value: i) in understanding disease burden; ii) as part of surveillance and impact monitoring; iii) as an entry point to exploring system failures; and iv) as a lens to examine variability in health system performance and possibly as a measure of health system quality in its own right. However, attention needs paying to improving data quality by addressing reporting gaps and cause of death reporting. Ideally enabling the collection of basic, standardised patient level data might support at least simple case-mix and case-severity adjustment helping us understand variation. Better mortality data could support impact evaluation, benchmarking, exploration of links between health ...Continue Reading

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Citations

Sep 11, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Samuel AkechRobert W Snow
Jul 20, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kavita SinghSodzi Sodzi-Tettey
Jul 15, 2020·BMC Infectious Diseases·Arthur MpimbazaRobert W Snow
Sep 10, 2018·The Lancet Global Health·Margaret E KrukMuhammad Pate

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