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Putting Quality on the Global Health Agenda
Abstract
Universal health coverage has been proposed as a primary goal for health in global development priorities. But to improve the health of the world's population, we must simultaneously ensure that the care provided is of sufficiently high quality.
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“Improving access to care is not the same as increasing access to high quality care”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [61]
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Cites
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Schultz, M. J., Dünser, M. W., Dondorp, A. M., Adhikari, N. K. J., Iyer, S. S., Kwizera, A., Lubell, Y., Papali, A. C., Pisani, L., Riviello, B. D., et al. (2017) · Intensive Care Medicine · doi:10.1007/s00134-017-4750-z · Cited by 232
Cazabon, D., Alsdurf, H., Satyanarayana, S., Nathavitharana, R. R., Subbaraman, R., Daftary, A., & Pai, M. (2016) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2016.10.016 · Cited by 173
“In the era of the End TB Strategy, we need to think beyond coverage and start focusing on the quality of care that is routinely provided to patients in HBCs, in both public and private sectors.(3,4) Quality TB care is patient-centric care that is consistent with international standards, delivered in an accessible, tim…”
BackgroundInfluentialRethinking assumptions about delivery of healthcare: implications for universal health coverage
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“[6] As health needs change and user expectations rise, health systems in low-income countries will need to adopt a patient-centered approach.[7,8] In low-income countries struggling with high mortality from avertable causes, the focus has traditionally been on expanding provision of basic services, with less attention…”
BackgroundScott, J. W., Morales, D. R., McRitchie, A., Riviello, R. R., Smink, D. S., & Yule, S. (2016) · Medical Education · doi:10.1111/medu.12939 · Cited by 75
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“However, the improvement in accessibility has not yielded a similar reduction in the morbidity and mortality of mothers and newborns, thus bringing to the foreground the importance of the quality of care received [6, 7] and its * Correspondence: estephania.”
BackgroundLarson, E., Leslie, H. H., & Kruk, M. E. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014888 · Cited by 59
“dIscussIon Across more than 16 000 visits for sick children in seven sub-Saharan African countries, provider communication was poor. These findings from nationally representative surveys of facilities corroborate findings of inadequate provider–patient communication, low quality of technical care and poor provider eff…”
BackgroundMeasuring Quality Gaps in TB Screening in South Africa Using Standardised Patient Analysis
Christian, C. S., Gerdtham, U., Hompashe, D. M., Smith, A., & Burger, R. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15040729 · Cited by 50
Readmission After COPD Exacerbation Scale: determining 30-day readmission risk for COPD patients
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“23,24 25–27 Williams reported that coordinating care among physicians with a patient-centered approach was more successful at reducing readmissions than a single physician led disease-centered approach.”
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“Concurrently, there is also a major drive internationally towards developing and refining quality indicators [2].”
BackgroundA Preoperative Scale for Determining Surgical Readmission Risk After Total Hip Replacement
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“Growing evidence suggests that people make active usage choices in seeking care and highlights the need to understand resident’s preference for choosing health services [17, 18].”
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Siracuse, B. L., Ippolito, J. A., Gibson, P. D., Ohman‐Strickland, P., & Beebe, K. S. (2017) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.16.01043 · Cited by 41
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“While systematic performance measurement is the foundation of quality health care [10], quality and safety indicators used in developed countries may not be appropriate in resource-limited settings [9, 11].”
BackgroundQuality Pathology and Laboratory Diagnostic Services Are Key to Improving Global Health Outcomes
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Improving quality is necessary to building a TB-free world: Lancet Commission on Tuberculosis
Reid, M. J. A., & Goosby, E. (2020) · Journal of Clinical Tuberculosis and Other Mycobacterial Diseases · doi:10.1016/j.jctube.2020.100156 · Cited by 28
“This can be achieved using a quality improvement (QI) framework which provides a proven, effective way to improve care for patients and improve practice of health care providers [22].”
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Improving the world’s health through the post-2015 development agenda: perspectives from Rwanda
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“There is much work to be done in Rwanda, and worldwide, to improve the quality of health services to ensure they are more safe, effective and patientcentered so that UHC is a meaningful goal (12).”
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“Some authors discussed the urgent need for better measurement and data analyses that required minimal technical support and leveraged existing resources [24, 25, 59, 66, 67, 108, 119, 132, 133, 137].”
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“Quality improvement is the next major challenge in global health [7], as universal health coverage is scaled up in all regions.”
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“[17], universal coverage to improve access to care by the poor is not enough.”
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“As the evidence base for compassion as a mutable trait with the potential to improve outcomes and enhance quality grows, approaches for embedding empathic communication techniques and compassionate behaviors into routine health care interactions are becoming more prevalent [19-23].”
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Haugland, H., Uleberg, O., Klepstad, P., Krüger, A., & Rehn, M. (2018) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzy106 · Cited by 24
Clinical Decision-Making, Gender Bias, Virtue Epistemology, and Quality Healthcare
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“Unfortunately, studies of ICU practices in developing countries suggest that compliance with best practices is worse than that reported in developed countries [4,5], with recent calls for greater interest to be taken in quality improvement as a global health priority [6].”
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“In low- and middle-income countries, the rates of misdiagnosis are likely more pronounced and the consequences more concerning (10).”
Schultz, M. J., Dünser, M. W., Dondorp, A. M., Adhikari, N. K. J., Iyer, S. S., Kwizera, A., Lubell, Y., Papali, A. C., Pisani, L., Riviello, E. D., et al. (2019) · Springer eBooks · doi:10.1007/978-3-030-03143-5_1 · Cited by 18
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“For example, Janani Suraksha Yojana, a conditional cash-transfer program to incentivize facility delivery in India, succeeded in substantially increasing facility births but had no significant effect on mortality due to lack of focus on the quality of facilities 30,31 .”
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“Given the importance of QoC in improving health outcomes, it has been placed in an urgent position in the global health agenda (34) .”
BackgroundNaberezhneva, N., Uleberg, O., Dahlhaug, M., Giil-Jensen, V., Ringdal, K. G., & Røise, O. (2023) · Scandinavian Journal of Trauma Resuscitation and Emergency Medicine · doi:10.1186/s13049-023-01118-5 · Cited by 12
“Continuous quality measurement of health services is becoming increasingly important on the path towards value-based health care [6, 7] and data from medical quality registries are more frequently used as a source when forming public health policy [8].”
BackgroundYu, T., Chung, K., Wei, C.-J., Chien, K., & Hou, Y.-C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0152776 · Cited by 12
Korom, R., Onguka, S., Halestrap, P., McAlhaney, M., & Adam, M. B. (2017) · PLoS ONE · doi:10.1371/journal.pone.0174566 · Cited by 11
“There is increasing recognition that low- and middle-income countries (LMICs) must not only improve access to health care services, but also the quality of those services in order to meet the needs of their populations [1].”
BackgroundLove, R. R. (2016) · Clinical Breast Cancer · doi:10.1016/j.clbc.2016.03.003 · Cited by 12
“efficient, and equitable; further, it better addresses the most commonly agreed-on characteristics of efficacy and safety.(29)”
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Engajamento do paciente e sua interface com a gestão da qualidade no âmbito hospitalar.
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“The role of technological innovations is important in resource-poor settings of India, where the health system has been criticized for its unacceptably low quality and poor effectiveness [25].”
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“However, despite the growing literature on successful models of healthcare QI, relatively little is known about how to implement successful quality improvement programs outside of a small number of highincome countries [5, 6].”
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THE QUALITY OF TUBERCULOSIS SERVICES IN PATIENTS’ PERSPECTIVES: A LITERATURE REVIEW
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“To achieve the focus of "End TB Strategy", it is necessary to increase access to TB services and ensure that patients receive a sufficiently high level of TB care (Scott and Jha, 2014; Kruk, Larson and TwumDanso, 2016; Cazabon et al., 2017).”
BackgroundAGRASS Questionnaire: Assessment of Risk Management in Health Care
Gama, Z. A. D. S., Saturno-Hernández, P. J., Caldas, A. C. S. G., de Freitas, M. R., de Mendonça, A. E. O., Medeiros, C. A. D. S., Medeiros, W. R., Kessler, O., & Soares, D. P. (2020) · Revista de Saúde Pública · doi:10.11606/s1518-8787.2020054001335 · Cited by 7
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“It is also becoming apparent that resources alone are not sufficient to improve healthcare without a concurrent commitment to quality that is locally relevant.(15) Quality improvement is a relatively new concept in Nepal just recently getting traction in larger teaching hospitals.”
BackgroundShimkhada, R., Adeyi, O., Wang, H., Broughton, E. I., & Kruk, M. E. (2017) · World Bank, Washington, DC eBooks · doi:10.1596/978-1-4648-0527-1_ch10 · Cited by 6
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The Business Case for Quality in Health Care
Spieker, N. (2020) · Springer eBooks · doi:10.1007/978-3-030-43112-9_7 · Cited by 4
“At a policy level, data on quality and risks assist governments and donors in their choices about how to best allocate their scarce resources to improve quality and lay the groundwork for a regulatory framework (Scott and Jha 2014).”
BackgroundIndicator-focussed technical assistance in South Africa’s HIV programme: a stepped-wedge evaluation
Jobson, G. A., Railton, J., Mutasa, B., Ranoto, L., Maluleke, C., McIntyre, J., Struthers, H., & Peters, R. (2021) · Southern African Journal of HIV Medicine · doi:10.4102/sajhivmed.v22i1.1229 · Cited by 4
“All 64 primary healthcare (PHC) and community healthcare (CHC) facilities in Greater Tzaneen (33), Greater Letaba (21) and Ba-Phalaborwa (10) subdistricts of the Mopani district were listed.”
BackgroundLateef, A., & Mhlongo, E. M. (2021) · Open Journal of Nursing · doi:10.4236/ojn.2021.119065 · Cited by 6
Addressing quality and safety in anatomic pathology in low- and middle-income countries
Smith, S. J., Eadara, A., & Parkash, V. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.1060179 · Cited by 4
“Thus, even as countries work toward creating policy, regulatory, and infrastructure to improve access to APS, we suggest that microsystems “quality improvement and cultural change” work at the organizational levels needs to begin in LMICs to ensure that capacity and infrastructure investment deliver results (15).”
BackgroundBrunell, O., Chaulagain, D. R., Ashish, K. C., Bergström, A., & Målqvist, M. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-054544 · Cited by 3
Indicadores de calidad de la atención a neonatos con patologías seleccionadas: estudio piloto
Saturno-Hernández, P. J., Poblano-Verástegui, O., Flores‐Hernández, S., García, D. Á., O'Shea-Cuevas, G., Villagrán-Muñoz, V. M., Halley-Castillo, M. E., & Delgado-Sánchez, V. (2018) · Salud Pública de México · doi:10.21149/9271 · Cited by 3
On the road to precision, there is more practical medicine to be implemented
Love, R. R. (2016) · The Breast · doi:10.1016/j.breast.2016.06.003 · Cited by 3
“There are 6 widely accepted quality-of-care measures: safety, efficacy, efficiency, patient-centeredness, timeliness, and equity [22].”
BackgroundAli, S. M., Curralo, A. F., Boulos, M. N. K., & Paiva, S. (2018) · Future Internet · doi:10.3390/fi11010006 · Cited by 3
“However, current data trends show that there is a need to think about expansion of TB care services, thereby emphasizing quality of care, both in private and public sectors [6,7].”
Background(2023) · Journal of Economics and Sustainable Development · doi:10.7176/jesd/14-12-11 · Cited by 2
“…an emergent argument appears to advocate concurrent approach to healthcare access, healthcare quality and patient safety instead of stages or sequential approach to realizing key components of health outcomes (Donaldson, Corrigan, & Kohn, 2000; Baker, 2001; Wolfe, 2001; and Scott and Jha, 2014).”
Public health oncology in practice: The Amader Gram Rampal Project in rural Bangladesh
Love, R. R., & Salim, R. (2015) · Journal of Cancer Policy · doi:10.1016/j.jcpo.2015.05.003 · Cited by 2
“Care needs to be of sufficiently high uality with six key features: safe, effective, patient-centered, effiient, timely and equitable to achieve measurable patient outcome mprovements [6].”
BackgroundInfluentialMbatia, R., Cohen, J. L., Zuakulu, M., Bukuku, A. G., Chandarana, S., Eliakimu, E., Moshi, S. J., & Larson, E. (2018) · Frontiers in Public Health · doi:10.3389/fpubh.2018.00273 · Cited by 2
“There is growing evidence that patients experience low quality healthcare in low- and middle-income countries [1-3].”
BackgroundTherapy of Cancer and Retroviral Diseases
Williams, C. K. O. (2018) · Springer eBooks · doi:10.1007/978-3-319-99362-1_2 · Cited by 2
Evaluating Shifts in Perception After a Pilot Trauma Quality Improvement Training Course in Cameroon
Nguyen, N. T., Ding, K., Oke, R. A., Tanjong, M. M., Mbuh, L., Mbianyor, M. A., Carvalho, M., Dissak‐Delon, F. N., Boeck, M. A., Collins, C. R., et al. (2022) · Journal of Surgical Research · doi:10.1016/j.jss.2022.02.019 · Cited by 2
LEADERSHIP DEVELOPMENT TRAINING FOR BRAZILIAN ORTHOPEDIC SURGEONS
Oberlohr, V., Giordano, V., Hungria, J. O. S., Caiero, M. T., Pires, R. E. S., da Silva, L. H. P., Pallottino, A., Sanchez, G. T., Labronici, P. J., MacKechnie, M. C., et al. (2024) · Acta Ortopédica Brasileira · doi:10.1590/1413-785220243201e272375 · Cited by 2
Affordable and high-quality outpatient adult medical care
Love, R. R., & Salim, R. (2019) · Bangladesh Journal of Medicine · doi:10.3329/bjmed.v30i1.39924 · Cited by 2
Lateef, A., & Mhlongo, E. M. (2021) · Research Square · doi:10.21203/rs.3.rs-144186/v1 · Cited by 2
“Fix GM, VanDeusen Lukas C, Bolton RE, Hill JN, Mueller N, LaVela SL, et al. Patient-centred care is a way of doing things: How healthcare employees conceptualize patient‐centred care.”
BackgroundInfluentialRitu, R. K., Rani, P., Kaur, A., & Kaur, H. (2025) · International Journal of Sociology and Social Policy · doi:10.1108/ijssp-03-2025-0156 · Cited by 1
RetractedBurden of Private Healthcare Expenditure: A Study of Three Districts
Verma, C. S., & Singh, S. (2019) · India studies in business and economics · doi:10.1007/978-981-13-6443-3_17 · Cited by 1
The Role of Quality Measures in Improving Breast Cancer Care in Low-Income Countries
Pace, L. E., & Keating, N. L. (2018) · Current Breast Cancer Reports · doi:10.1007/s12609-018-0288-5 · Cited by 2
Ndagijimana, D., Mureithi, C., & Ngomi, N. N. (2019) · International Journal of Translational Medical Research and Public Health · doi:10.21106/ijtmrph.81 · Cited by 1
“The specific aims were to: (1) establish the occurrence and factors that contribute to preventable adverse events in public hospitals; (2) determine quality and safety measures put in place for maintaining quality and safety of healthcare services delivery among public hospitals; (3) explore the needs and priorities f…”
BackgroundMethodIncreasing Impact: Evaluation in Global Child Health Education, Clinical Practice, and Research
Gladding, S. P., Suchdev, P. S., Kiguli, S., Lowenthal, E. D., & ON BEHALF OF THE GLOBAL HEALTH TASK FORCE OF THE AMERICAN BOARD OF PEDIATRICS (2019) · PEDIATRICS · doi:10.1542/peds.2018-3716 · Cited by 1
“Highquality care metrics developed for global health could be used to help guide data collection.(9) Although outcomes data may not be easy to collect, particularly for shorter-term programs, longer-term partnerships have demonstrated it is possible to collect needed data, including on intermediate outcomes, such as e…”
BackgroundAdaptación transcultural del Questionário AGRASS para evaluar la gestión de riesgos asistenciales
Rojas, M., Ortega-Altamirano, D. V., Jerez‐Roig, J., & Gama, Z. A. D. S. (2021) · Journal of Healthcare Quality Research · doi:10.1016/j.jhqr.2021.03.004 · Cited by 1
“…la segu-ridad del paciente es un tema de gran relevancia en la actualidad, que se encuentra presente en la agenda de salud pública a nivel mundial 1 Esto ocurre porque estudios epi-demiológicos muestran que los errores y eventos adversos, debidos a la asistencia sanitaria, representan una…”
Chaturvedi, S. (2015) · Figshare · Cited by 1
Incentivizing Demand for Supply-Constrained Care: Institutional Birth in India
Andrew, A., & Vera‐Hernández, M. (2020) · doi:10.1920/wp.ifs.2020.520 · Cited by 1
Iroz, C. B., Ramaswamy, R., Bhutta, Z. A., & Barach, P. R. (2023) · Research Square · doi:10.21203/rs.3.rs-3201015/v1 · Cited by 1
Bending the curve: maximising impact with focused HIV prevention
Deeks, S. G., & Hunt, P. W. (2014)
Metadata
- Authors
- Scott, K. W., & Jha, A. K.
- Affiliations
- Brigham and Women's Hospital (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2014-07-03
- Volume
- 371
- Issue
- 1
- Pages
- 3-5
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2069048834
- Cited by
- 116
- References
- 6
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 10 · 2019: 10 · 2018: 15 · 2017: 13 · 2016: 15 · 2015: 16 · 2014: 7
- FWCI
- 31.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (T32HS000055)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
- Keywords
- universal health coverage, quality of care, global health agenda, health system quality
- MeSH terms
- Health Policy, Health Services Accessibility, Humans, Quality of Health Care, Global Health, Patient-Centered Care, Universal Health Insurance, Quality Improvement, Patient Safety
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