Quality and Safety in Healthcare, Institute for Clinical Effectiveness and Health Policy 2024 Ravignani (1414) Buenos Aires Argentina.
Institute for Healthcare improvement, Boston, USA.
Int J Qual Health Care. 2021 Mar 5;33(1). doi: 10.1093/intqhc/mzaa062.
The Covid-19 and other recent pandemics has highlighted existing weakness in health systems across the Latin-America and the Caribbean (LAC) region to effectively prepare for and respond to Public Health Emergencies. It has been stated that quality of care will be among the most influential factors on Covid 19 mortality rates and low systems performance is the common case in these countries. More comprehensive and system level strategies are required to address the challenges. These must focus on redesigning and strengthening health systems to make them more resilient to the changing needs of populations and based on quality improvement methods that have shown rigorously evaluated positive effects in previous local and regional experiences. A call to action is being made by the Latin American Consortium for Quality, Patient Safety and Innovation (CLICSS) and they provide specific recommendations for decision makers.
新冠疫情和其他最近的大流行病凸显了拉丁美洲和加勒比地区(LAC)各国卫生系统在有效防范和应对公共卫生突发事件方面存在的固有弱点。有观点认为,医疗服务质量将是影响新冠死亡率的最主要因素之一,而这些国家的卫生系统效能普遍较低。要应对这些挑战,需要采取更全面、更具系统性的策略。这些策略必须侧重于重新设计和加强卫生系统,使其更有能力应对人口需求的变化,并以质量改进方法为基础,这些方法在以往的本地和区域经验中已被证明具有严格评估的积极效果。拉丁美洲质量、患者安全和创新联盟(CLICSS)呼吁采取行动,并为决策者提供了具体建议。