Use of a national collaborative to improve hospital quality in a low-income setting

Linnander, Erika; McNatt, Zahirah; Sipsma, Heather; Tatek, Dawit; Abebe, Yewelsew; Endeshaw, Abraham; Bradley, Elizabeth H.

doi:10.1093/inthealth/ihv074

Cited by 18 publications

(17 citation statements)

References 24 publications

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“…Health institutions that periodically performed service patient satisfaction level showed high-quality assurance and efficiency of care through decreasing referrals and readmissions, and their patients were more compliant, cooperative, and interested to be involved actively in their treatment regimen; promptness of follow-up and continuity of outpatient care; good treatment response, and in addition, they addressed reliability of services through providing services in a consistent and dependable manner and decrease burnout of the health-care providers [22][23][24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019

et al. 2020

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Background. In health care, patient satisfaction is an attitudinal response and a pillar for quality assurance, but there is reluctance to measure it among mentally ill patients. Satisfied patients become more compliant. However, no study was done in this study area before. Therefore, this study was conducted to determine the magnitude of perceived patient satisfaction and associated factor at Jimma University Medical Center, outpatient psychiatry clinic. Methods. Cross-sectional study design was conducted, and systematic random sampling technique was used to get study participants. The 24-item Mental Health Service Satisfaction Scale (a validated tool in Ethiopia) was used to assess patient satisfaction. Data was entered using Epi-data 3.1 and exported to the Statistical Package for the Social Sciences 22.0 for analysis. Linear regression analysis (P<0.05) was used to identify the association between the outcome and independent variable. Result. 414 respondents participated in the study with response rate of 98%. The overall percentage of patient satisfaction was 50.3% (95% CI 48.4%–51.2%). Being male (β=−0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β=−1.250, 95% CI (-1.765, -0.735)), living in a rural area (β=−1.358, 95% CI (-1.687, -1.030)), having a diagnosis of major depressive disorder (β=1.719, 95% CI (1.332, 2.106)) and bipolar disorder (β=1.203, 95% CI (0.890, 1.516)), far in distance from the hospital (β=−3.250, 95% CI (-4.662, -2.450)), having a history of current substance use (β=−1.719, 95% CI (-2.015, -1.423)), longer in waiting time (β=−3.853, 95% CI (-4.701, -2.205)), and strong social support (β=0.456, 95% CI (0.231, 0.654)) were variables significantly associated with patient satisfaction. Conclusion and Recommendation. This study found that half of the study participants are satisfied with the service. Distance from the hospital, current substance use, waiting time, and having good social support were identified as modifiable factors that can be improved through working with stakeholders to increase patient satisfaction.

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Section: Introductionmentioning

confidence: 99%

Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019

et al. 2020

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“…JIAPAC-18-08-SA-1100 further describes this approach in this supplement, noting similar trends in improvements despite the differences in country contexts, varying indicators, and other external influences. We recommend further studies compare learning systems currently being used in low- to middle-income countries 7,8,28 to highlight which components could work in different settings. Adaptation of collaborative learning efforts to the country context and government ownership needs close attention when designing multicountry learning networks.…”

Section: Future Applications Of a Multicountry Learning Network Modelmentioning

confidence: 99%

Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge across Programs Aimed to Reduce Mother-to-Child Transmission of HIV and Improve Nutrition: Perspectives and Lessons Learned for Similar Large-Scale Initiatives

Webster

Deka

Ismail

et al. 2019

J Int Assoc Provid AIDS Care

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As countries pursue UNAIDS’s 90-90-90 target for ending the AIDS epidemic, success is dependent on learning how to deliver effective care. We describe a learning network and mechanisms used to foster communication and sharing of ideas and results across 6 countries in the Partnership for HIV-Free Survival. The network used 2 forms of peer exchange, in-person and virtual, and a variety of knowledge management mechanisms to harvest and spread key learning. Key learning included valuable insights on how to design and convene a multicountry learning network, including top enablers of success and practical insights on the network’s value. The network was instrumental in accelerating learning about improving care. Our experience shows the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems. Government ownership and adaptation of collaborative learning efforts to the country context must be considered when designing future networks.

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“…The medical services directorate of the health ministry convened a committee of ministry staff and international partners to create a tool and a protocol for conducting site visits and collecting data on intrapartum care quality. We piloted and evaluated the tool and assessment process in the 18 hospitals within the Ethiopia Alliance for Hospital Quality 10 . The alliance is a national quality collaborative initiative, in which the approximately 140 government hospitals are each assigned to a cluster with one lead hospital to work on prioritized hospital quality issues.…”

Section: Local Settingmentioning

confidence: 99%

“…We undertook the study in Ethiopia, where facility-based births are increasing, 9 and where the country has invested in hospital quality improvement since 2003 10 , 11 . Although we were unable to measure patient outcomes, we examined both processes of care and the capacity of facilities to provide quality-of-care processes, with a focus on elements of intrapartum care.…”

Section: Introductionmentioning

confidence: 99%

Maternal and neonatal services in Ethiopia: measuring and improving quality

Canavan

Brault

Tatek

et al. 2017

Bull. World Health Organ.

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ProblemMaternal and neonatal mortality remains high in low- and middle-income countries, with poor quality of intrapartum care as a barrier to further progress.ApproachWe developed and tested a method of measuring the quality of maternal and neonatal care that could be embedded in a larger national performance management initiative. The tool used direct observations and medical record reviews to score quality in nine domains of intrapartum care. We piloted and evaluated the tool in visits to the 18 lead hospitals that have responsibility to promote and coordinate quality improvement efforts within a hospital cluster in Ethiopia. Between baseline and follow-up assessments, staff from a national quality collaborative alliance provided hospital-based training on labour and delivery services.Local settingEthiopia has invested in hospital quality improvement for more than a decade and this tool was integrated into existing quality improvement mechanisms within lead hospitals, with the potential for scale-up to all government hospitals.Relevant changesSignificant improvements in quality of intrapartum care were detected from baseline (June–July 2015) to follow-up (February–March 2016) in targeted hospitals. The overall mean quality score rose from 65.6 (standard deviation, SD: 10.5) to 91.2 (SD: 12.4) out of 110 items (P < 0.001).Lessons learntThe method was feasible, requiring a total of 3 days and two to three trained data collectors per hospital visit. It produced data that detected substantial changes made during 8 months of national hospital quality improvement efforts. With additional replication studies, this tool may be useful in other low- and middle-income countries.

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Use of a national collaborative to improve hospital quality in a low-income setting

Cited by 18 publications

References 24 publications

Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019

Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019

Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge across Programs Aimed to Reduce Mother-to-Child Transmission of HIV and Improve Nutrition: Perspectives and Lessons Learned for Similar Large-Scale Initiatives

Maternal and neonatal services in Ethiopia: measuring and improving quality

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