Crossing the quality chasm in resource-limited settings

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Over the last decade, extensive scientific and policy innovations have begun to reduce the " quality chasm" - the gulf between best practices and actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely to be equally acute and deadly in resource-limited areas. While health systems have begun to be scaled up in impoverished areas, scale-up is just the foundation necessary to deliver effective healthcare to the poor. This perspective piece describes a vision for a global quality improvement movement in resource-limited areas. The following action items are a first step toward achieving this vision: 1) revise global health investment mechanisms to value quality; 2) enhance human resources for improving health systems quality; 3) scale up data capacity; 4) deepen community accountability and engagement initiatives; 5) implement evidence-based quality improvement programs; 6) develop an implementation science research agenda. © 2012 Maru et al.; licensee BioMed Central Ltd.




Maru, D. S. R., Andrews, J., Schwarz, D., Schwarz, R., Acharya, B., Ramaiya, A., … Shilpakar, S. (2012, November 30). Crossing the quality chasm in resource-limited settings. Globalization and Health.

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