Improving Quality of Care in Low- and Middle-Income Countries Workshop Summary (2015) / Chapter Skim
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2 An Overview of Quality of Care in Low- and Middle-Income Countries
2 An Overview of Quality of Care in Low- and Middle-Income Countries
Pages 7-12
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(Rowe) After brief welcoming remarks from Victor Dzau, the IOM president, and Sheila Leatherman of the University of North Carolina at Chapel Hill, Ashish Jha of Harvard University gave a keynote address describ 7
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As countries grow wealthier, universal health coverage has become a common policy goal. The combination of growing wealth and increased access to services translates into more demand for health care.
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Quality programs that focus on provider behavior risk losing sight of the larger systemic obstacles that prevent change from taking root. Jha emphasized the need for commitment to change from the top levels of an organization.
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In discussing his concerns about the evidence base, Heiby reminded the audience that finding weak evidence for any or all of the target methods should not be seen as a failure in the discussion: understanding where the data are weak helps scientists form a clearer research agenda.
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Therefore, Heiby cautioned against blindly supporting quality improvement as a movement, saying that the programs should be held accountable for how they spend and how they influence their partner countries. The best way to do that may be by demanding rigorous evaluations of quality improvement programs.
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