How to prioritise in quality improvement? Targeted implementation as a key for quality improvement in Kenyan health facilities.

BMJ Open Quality
Christine NitschkeMichael Marx

Abstract

Data from national surveys of low- and middle income countries indicates that there is still a need to improve the quality of healthcare in resource-poor settings. This study aims to understand the benefit of an integral, facility-driven, indicator-based approach used as a decision-making tool to define effective quality improvement interventions in Kenya. The aim of the study is to understand whether the integral approach developed leads to effective interventions. Categorical data is collected from ten health facilities covered by the Integrated Quality Management System (IQMS) project in Kenya. First the information on concrete improvement interventions implemented within the facilities is collected and merged into five different intervention topics. Second, groups of facilities with similar quality improvement interventions are selected to compare between the first and second quality assessment rounds. Those IQMS indicators matching the content of the intervention topic are extracted from the software VISOTOOL. In a third step, the data is summarised using means and SD. A one sample T-test is applied on the mean changes and SD. Frequency counts and percentages were used for the presentation of categorical data. All improvem...Continue Reading

References

Jun 28, 2005·Health Policy·Justin Oliver ParkhurstFreddie Ssengooba
Nov 2, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Joachim SzecsenyiKatja Goetz
Apr 30, 2014·BMC Oral Health·Katja GoetzJoachim Szecsenyi
Dec 25, 2015·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Claudia HerrlerJoachim Szecsenyi
Dec 13, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Helen PrytherchMichael Marx

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Software Mentioned

Kenya
Excel
VISOTOOL
IQMS

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