Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case

Serván‐Mori, Edson; Chivardi, Carlos; Fene, Fato; Heredia-Pi, Ileana; Mendoza, Miguel Ángel; Nigenda, Gustavo

doi:10.1007/s10729-020-09503-7

Cited by 4 publications

(4 citation statements)

References 43 publications

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“…Amado and dos Santos (2009) and Allin et al (2016) include objective outcome quality indicators in both stages and structural quality as an explanatory variable in Stage 2. Serván-Mori et al (2020), in line with a previous study (Serván-Mori et al 2018), investigate efficiency in providing maternal services at the regional level by including process quality indicators in the efficiency model. In Stage 2, they examine the variation in the maternal mortality ratio in Mexico, considering the efficiency from Stage 1 as an explanatory variable.…”

Section: Country Studiesmentioning

confidence: 64%

Health care quality in nonparametric efficiency studies: a review

Sommersguter-Reichmann

2021

Cent Eur J Oper Res

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Scientists are increasingly considering quality in nonparametric frontier efficiency studies in health care. There are many ways to include quality in efficiency analyses. These approaches differ, among other things, in the underlying assumptions about the influence of quality on the attainable efficiency frontier and the distribution of inefficiency scores. The aim is to provide an overview of how scholars have taken quality into account in nonparametric frontier efficiency studies and, at the same time, to address the underlying assumptions on the relationship between efficiency and quality. To this end, we categorized empirical efficiency studies according to the methodological approaches and quality dimensions and collected the quality indicators used. We performed a Web of Science search for studies published in journals covered by the Science Citation Index Expanded, the Social Sciences Citation Index, and the Emerging Sources Citation Index between 1980 and 2020. Of the 126 studies covered in this review, 78 are one-stage studies that incorporate quality directly into the efficiency model and thus assume that quality impacts the attainable efficiency frontier. Forty-four articles are two-stage studies that consider quality in the first and the second stage or the second stage only. Four studies do not assume a priori a specific association between efficiency and quality. Instead, they test for this relationship empirically. Outcome quality is by far the most frequently incorporated quality dimension. While most studies consider structural quality as an environmental variable in the second stage, they include outcome quality predominantly directly in the efficiency model. Process quality is less common.

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Section: Country Studiesmentioning

confidence: 64%

Health care quality in nonparametric efficiency studies: a review

Sommersguter-Reichmann

2021

Cent Eur J Oper Res

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“…The training of community health workers for MCH care, seeking a better response to the needs of the population, improved access to care and life expectancy indicators at birth, as well as child and maternal mortality rates [47]. Improving the technical e ciency of professionals and availability of human resources in PHC reduces maternal mortality rates [49]. Low performance of family health professionals was attributed to inadequate technical quality and work overload [51].…”

Section: Monitoring and Evaluationmentioning

confidence: 99%

“…It should be reinforced that the training of professionals is fundamental to achieving e cient and quality care in PHC [46,47,48,49,50,51]. While not exhaustively explored in studies found, expert support and second opinion are relevant strategies to strengthen the comprehensive care of individuals and of the community [52,53,54,55].…”

Section: Workforce Availabilitymentioning

confidence: 99%

What Primary Care mechanisms impact mortality in children under five?

Oliveira

Anjos

Martufi

et al. 2023

Preprint

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Background Countries with health systems centered around Primary Health Care tend to achieve better results in maternal and child health, especially in relation to lower morbimortality rates due to preventable causes and health inequalities. However, Primary Health Care is a complex, multifaceted intervention, making it fundamental to understand how its mechanisms address relevant population health outcomes. This paper seeks to identify, classify, evaluate and summarize existing evidence on Primary Health Care mechanisms that influence mortality in children under five, based on a critical realistic epistemology, to inform decision-making. Main body A realist, five-step synthesis was conducted to grasp such mechanisms. As the first step, a theoretical model depicting comprehensive primary health care was developed, based on the analysis of documents from Brazilian regulation on maternal and child health care. The next steps involved an article search, selection and review of relevant sources, extraction and synthesis of evidence, and, finally, the reaching of a consensus on the final theoretical model in step five, based on the evidence encountered in the selected studies. One hundred and thirty-five studies were included, covering research in several countries, exemplifying primary health care as an effective intervention to improve children’s health in different contexts. Additionally, this review revealed that specific interventions, based on selective primary health care, are less powerful, signaling the importance of a systemic approach that acknowledges the interconnection and interaction of Primary Health Care’s multiple components. Furthermore, significant gaps in existing evidence related to specific structuring components of Primary Health Care and how they affect child health, including, but not limited to, planning and organization of services and work processes, or the referral and regulation system. Conclusions We envision that the results of this study may support decision-makers with a deeper understanding of Primary Health Care and how it can be most effective in the improvement of the population’s health. We recommend further studies addressing Primary Health Care as a complex and comprehensive intervention, in different contexts, specifically in relation to the components and indicators of our theoretical model.

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“…Since medical records are susceptible, security protection is much necessitated [34]. The cloud-oriented platform can merge different off-theshelf and custom gadgets to maintain and improve health-associated services, practical competencies, self-confidence, and safety [35][36][37]. Also, it is in charge of explicit and implicit communication with the primary operators [30].…”

Section: Introductionmentioning

confidence: 99%

The Roles of Cloud-Based Systems on the Cancer-Related Studies: A Systematic Literature Review

Zhou

2022

IEEE Access

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The advances in Wireless-based technologies and intelligent diagnostics and forecasting such as cloud computing have significantly affected our lifestyle, observed in many fields, especially healthcare. Also, since the number of new cases of cancer has become very high, there is a need to investigate this matter deeply. Still, there is no systematic review on the application or implementation of the cloud in cancer-care services. Hence, this paper has introduced a comprehensive review of a cloud-centered healthcare system that emphasizes treatment ways in different types of cancer until Sep 2021. The results have shown that the largest study was about the relationship between cancer and the cloud associated with breast cancer. Also, the results have shown that cloud computing facilitates data protection, privacy, and medical record access. Using cloud computing in hospitals, physicians will use advanced programs and tools, and nurses will quickly access patients' information with new Wireless-based technologies. A strong understanding of the practical aspects of cloud computing will help researchers effectively navigate the vast data ecosystems in cancer research. So, by highlighting the advantages and drawbacks of analyzed articles, this study provides a comprehensive and up-to-date report on the field of cloud-based cancer studies to fill the previous gaps.

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Tackling maternal mortality by improving technical efficiency in the production of primary health services: longitudinal evidence from the Mexican case

Cited by 4 publications

References 43 publications

Health care quality in nonparametric efficiency studies: a review

Health care quality in nonparametric efficiency studies: a review

What Primary Care mechanisms impact mortality in children under five?

The Roles of Cloud-Based Systems on the Cancer-Related Studies: A Systematic Literature Review

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