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Crossing the Global Quality Chasm: Improving Health Care Worldwide

2018

This report from the National Academies of Sciences, Engineering, and Medicine examines the impacts of poor-quality health care globally, specifically focusing on low- and middle-income countries where poor quality of care causes 10 to 15 percent of total deaths. Though universal health coverage (UHC) is a critical component of the global Sustainable Development Goals (SDGs), the report argues that without comprehensive investments to improve health care quality, the benefits of UHC will not be experienced. The report reviews evidence on quality of care worldwide, highlighting the incomplete and uneven progress in current efforts. Special attention is given to incorporating the informal care sector as a part of national health strategies and quality monitoring and prioritizing settings of extreme adversity like conflict zones, refugee camps, and failed states.

The study recommendations include making accountability a top priority; using UHC as leverage to improve quality of care; redesigning health care using systems thinking design principles; embedding and refining quality measurement in health care; addressing corruption and collusion; encouraging a culture of continual learning; and mobilizing a research and development agenda. Along with report highlights, two videos accompany the report—one on the scope of the problem and another on health systems of the future.

Source:

Crossing the Global Quality Chasm: Improving Health Care Worldwide. The National Academies Press 2018. DOI: https://doi.org/10.17226/25152.