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A novel method for measuring health care system performance: experience from QIDS in the Philippines.
- Source :
- Health Policy & Planning; May2009, Vol. 24 Issue 3, p167-167, 1p
- Publication Year :
- 2009
-
Abstract
- Objectives Measuring and monitoring health system performance is important albeit controversial. Technical, logistic and financial challenges are formidable. We introduced a system of measurement, which we call Q*, to measure the quality of hospital clinical performance across a range of facilities. This paper describes how Q* was developed, implemented in hospitals in the Philippines and how it compares with typical measures. Methods Q* consists of measures of clinical performance, patient satisfaction and volume of physician services. We evaluate Q* using experimental data from the Quality Improvement Demonstration Study (QIDS), a randomized policy experiment. We determined its responsiveness over time and to changes in structural measures such as staffing and supplies. We also examined the operational costs of implementing Q*. Results Q* was sustainable, minimally disruptive and readily grafted into existing routines in 30 hospitals in 10 provinces semi-annually for a period of 2½ years. We found Q* to be more responsive to immediate impacts of policy change than standard structural measures. The operational costs totalled US$2133 or US$305 per assessment per site. Conclusion Q* appears to be an achievable assessment tool that is a comprehensive and responsive measure of system level quality at a limited cost in resource-poor settings. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02681080
- Volume :
- 24
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Health Policy & Planning
- Publication Type :
- Academic Journal
- Accession number :
- 37927332
- Full Text :
- https://doi.org/10.1093/heapol/czp003