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Quality in Primary Health Care

Quality in Primary Health Care. 2018 - Affirming quality as central to UHC. Deaths due to poor quality. 8.6 million deaths per year (UI 8.5-8.8) in 137 LMICs are due to inadequate access to quality care. High-quality health systems could prevent :

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Quality in Primary Health Care

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  1. Quality in Primary Health Care

  2. 2018 - Affirming quality as central to UHC

  3. Deaths due to poor quality • 8.6 million deaths per year (UI 8.5-8.8) in 137 LMICs are due to inadequate access to quality care. • High-quality health systems could prevent: • 2·5 million deaths from cardiovascular disease, • 1 million newborn deaths, • 900 000 deaths from tuberculosis • half of all maternal deaths each year. Available here: https://www.hqsscommission.org/

  4. Quality health services? Health care that is… Available here: http://www.who.int/servicedeliverysafety/quality-report/en/

  5. PHC, UHC & Quality See: https://www.who.int/docs/default-source/primary-health/vision.pdf

  6. Available: https://www.who.int/docs/default-source/primary-health-care-conference/quality.pdf?sfvrsn=96f411e5_2

  7. Thinking through Quality Interventions System environment Reducing harm Improvement in clinical care Patient, family & community engagement & empowerment

  8. Quality PHC – an illustrative patient journey preventive measures to reduce risk of complications secondary or tertiary care management of serious complications such as vascular or eye disease Multiple & complex health needs and interactions with services self-management of blood sugar in the community measures to adapt to secondary disability long-term medication use management of social impacts Person with diabetes Heightened potential for worsened health outcomes due to poor quality PHC uniquely placed to ensure quality throughout the patient journey, for example through: • Focus on individualized prevention, promotion, and treatment • Coordination and “gate-keeping” role to enhance the quality of care • Attention to complex medical and social backgrounds

  9. Responding to Major Challenges Misunderstanding on meaning of quality PHC. National quality direction – connecting to local PHC. PHC measurement disconnected from improvement. Integration of efforts – PHC, districts & hospitals. Quality initiatives as time-bound projects. Quality interventions & contextual relevance. See: https://www.who.int/docs/default-source/primary-health-care-conference/quality.pdf?sfvrsn=96f411e5_2

  10. Available: https://www.who.int/docs/default-source/primary-health-care-conference/emergencies.pdf?sfvrsn=687d4d8d_2

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