TY - JOUR
T1 - Institutionalizing quality within national health systems
T2 - Key ingredients for success
AU - Kandasami, Stephanie
AU - Syed, Shamsuzzoha Babar
AU - Edward, Anbrasi
AU - Sodzi-Tettey, Sodzi
AU - Garcia-Elorrio, Ezequiel
AU - Abrampah, Nana Mensah
AU - Hansen, Peter M.
N1 - Publisher Copyright:
© The Author(s) 2019. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Quality improvement initiatives can be fragmented and short-term, leading to missed opportunities to improve quality in a systemic and sustainable manner. An overarching national policy or strategy on quality, informed by frontline implementation, can provide direction for quality initiatives across all levels of the health system. This can strengthen service delivery along with strong leadership, resources, and infrastructure as essential building blocks for the health system. This article draws on the proceedings of an ISQua conference exploring factors for institutionalizing quality of care within national systems. Active learning, inclusive of peer-to-peer learning and exchange, mentoring and coaching, emerged as a critical success factor to creating a culture of quality. When coupled by reinforcing elements like strong partnerships and coordination across multiple levels, engagement at all health system levels and strong political commitment, this culture can be cascaded to all levels requiring policy, leadership, and the capabilities for delivering quality healthcare.
AB - Quality improvement initiatives can be fragmented and short-term, leading to missed opportunities to improve quality in a systemic and sustainable manner. An overarching national policy or strategy on quality, informed by frontline implementation, can provide direction for quality initiatives across all levels of the health system. This can strengthen service delivery along with strong leadership, resources, and infrastructure as essential building blocks for the health system. This article draws on the proceedings of an ISQua conference exploring factors for institutionalizing quality of care within national systems. Active learning, inclusive of peer-to-peer learning and exchange, mentoring and coaching, emerged as a critical success factor to creating a culture of quality. When coupled by reinforcing elements like strong partnerships and coordination across multiple levels, engagement at all health system levels and strong political commitment, this culture can be cascaded to all levels requiring policy, leadership, and the capabilities for delivering quality healthcare.
KW - Governance
KW - Health systems strengthening
KW - Institutionalization
KW - Learning
KW - National quality policy
KW - Quality of care
KW - Strategy
UR - http://www.scopus.com/inward/record.url?scp=85082147876&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85082147876&partnerID=8YFLogxK
U2 - 10.1093/intqhc/mzz116
DO - 10.1093/intqhc/mzz116
M3 - Review article
C2 - 31814007
AN - SCOPUS:85082147876
SN - 1353-4505
VL - 31
SP - G136-G138
JO - International Journal for Quality in Health Care
JF - International Journal for Quality in Health Care
IS - 9
ER -