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dc.contributor.author
Braithwaite, Jeffrey
dc.contributor.author
Vincent, Charles
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Garcia Elorrio, Ezequiel
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dc.contributor.author
Imanaka, Yuichi
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Nicklin, Wendy
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Sodzi Tettey, Sodzi
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Bates, David W.
dc.date.available
2022-09-26T17:48:27Z
dc.date.issued
2020-12
dc.identifier.citation
Braithwaite, Jeffrey; Vincent, Charles; Garcia Elorrio, Ezequiel; Imanaka, Yuichi; Nicklin, Wendy; et al.; Transformational improvement in quality care and health systems: The next decade; BioMed Central; Bmc Medicine; 18; 1; 12-2020; 1-17
dc.identifier.issn
1741-7015
dc.identifier.uri
http://hdl.handle.net/11336/170473
dc.description.abstract
Background: Healthcare is amongst the most complex of human systems. Coordinating activities and integrating newer with older ways of treating patients while delivering high-quality, safe care, is challenging. Three landmark reports in 2018 led by (1) the Lancet Global Health Commission, (2) a coalition of the World Health Organization, the Organisation for Economic Co-operation and Development and the World Bank, and (3) the National Academies of Sciences, Engineering and Medicine of the United States propose that health systems need to tackle care quality, create less harm and provide universal health coverage in all nations, but especially low- and middle-income countries. The objective of this study is to review these reports with the aim of advancing the discussion beyond a conceptual diagnosis of quality gaps into identification of practical opportunities for transforming health systems by 2030. Main body: We analysed the reports via text-mining techniques and content analyses to derive their key themes and concepts. Initiatives to make progress include better measurement, using the capacities of information and communications technologies, taking a systems view of change, supporting systems to be constantly improving, creating learning health systems and undergirding progress with effective research and evaluation. Our analysis suggests that the world needs to move from 2018, the year of reports, to the 2020s, the decade of action. We propose three initiatives to support this move: first, developing a blueprint for change, modifiable to each country’s circumstances, to give effect to the reports’ recommendations; second, to make tangible steps to reduce inequities within and across health systems, including redistributing resources to areas of greatest need; and third, learning from what goes right to complement current efforts focused on reducing things going wrong. We provide examples of targeted funding which would have major benefits, reduce inequalities, promote universality and be better at learning from successes as well as failures. Conclusion: The reports contain many recommendations, but lack an integrated, implementable, 10-year action plan for the next decade to give effect to their aims to improve care to the most vulnerable, save lives by providing high-quality healthcare and shift to measuring and ensuring better systems- and patient-level outcomes. This article signals what needs to be done to achieve these aims.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
HEALTH SYSTEMS
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LOW-, MIDDLE- AND HIGH-INCOME COUNTRIES
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PATIENT SAFETY
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QUALITY OF CARE
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UNIVERSAL HEALTH COVERAGE
dc.subject.classification
Otras Ciencias de la Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Transformational improvement in quality care and health systems: The next decade
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-09-23T15:42:20Z
dc.journal.volume
18
dc.journal.number
1
dc.journal.pagination
1-17
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Braithwaite, Jeffrey. Macquarie University; Australia
dc.description.fil
Fil: Vincent, Charles. University of Oxford; Reino Unido
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Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Imanaka, Yuichi. Kyoto University; Japón
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Fil: Nicklin, Wendy. Ceo International Society For Quality In Health Care; Irlanda
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Fil: Sodzi Tettey, Sodzi. Institute For Healthcare Improvement; Estados Unidos
dc.description.fil
Fil: Bates, David W.. Harvard Medical School; Estados Unidos
dc.journal.title
Bmc Medicine
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12916-020-01739-y
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-020-01739-y
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