Bhat Lipika, McCammon Carol
Eastern Virginia Medical School, Emergency Physicians of Tidewater, 600 Gresham Drive, Raleigh Building, Rm 304, Norfolk, VA 23207 USA.
Curr Bladder Dysfunct Rep. 2021;16(1):1-5. doi: 10.1007/s11884-020-00623-y. Epub 2021 Mar 5.
This review will discuss the importance of quality improvement in low- and middle-income settings as well as several potential barriers to these measures.
There is substantial potential for growth in the field of quality improvement in low-resource settings. The extent of quality improvement (QI) research in low-resource settings is limited but expanding.
Patient harm that is attributable to the costs of poor quality is a significant factor in all practice settings but is arguably of greater impact in limited-resource settings. Due to the recognized human, physical, and technological resource limitations in low- and middle-income countries, the delivery of quality healthcare can be variable in many settings, with discrepancies in evidence-based, evidence-informed, and customary care processes. Disparities in training and development of workforce providers exist in addition to limited availability of funding for QI research. Governmental, health ministry, and health system support is also variable. Attention to all of these areas is ultimately necessary to implement affordable and realistic quality improvement initiatives, education, training, and patient safety strategies that can mitigate harms, improve and establish more reliable outcomes, and develop a culture of safety to grow more sustainable and effective workforces and systems.
本综述将探讨在低收入和中等收入环境中质量改进的重要性以及这些措施的几个潜在障碍。
在资源匮乏环境中，质量改进领域有很大的增长潜力。资源匮乏环境中质量改进（QI）研究的范围有限，但正在扩大。
因质量差的成本导致的患者伤害在所有医疗环境中都是一个重要因素，但在资源有限的环境中可能影响更大。由于低收入和中等收入国家存在公认的人力、物力和技术资源限制，在许多环境中，高质量医疗服务的提供可能存在差异，循证、基于证据和传统护理流程存在差异。除了质量改进研究的资金有限外，劳动力提供者的培训和发展也存在差异。政府、卫生部和卫生系统的支持也各不相同。最终，关注所有这些领域对于实施负担得起且切实可行的质量改进举措、教育、培训和患者安全策略至关重要，这些举措可以减轻伤害、改善并建立更可靠的结果，培养安全文化以发展更可持续和有效的劳动力及系统。
