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The perception of health care quality by primary health care managers in Ukraine

BACKGROUND: Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. METHODS: An online survey was conducted as part of the Ukr...

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Autores principales: Anufriyeva, Valentyna, Pavlova, Milena, Stepurko, Tetiana, Groot, Wim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271244/
https://www.ncbi.nlm.nih.gov/pubmed/35810293
http://dx.doi.org/10.1186/s12913-022-08300-y
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author Anufriyeva, Valentyna
Pavlova, Milena
Stepurko, Tetiana
Groot, Wim
author_facet Anufriyeva, Valentyna
Pavlova, Milena
Stepurko, Tetiana
Groot, Wim
author_sort Anufriyeva, Valentyna
collection PubMed
description BACKGROUND: Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. METHODS: An online survey was conducted as part of the Ukrainian-Swiss project “Medical Educational Development” in April–May 2019 based on the contact list of USAID project “Health Reform Support”, and additionally on the database of the National Health Service of Ukraine and other channels. Data were analyzed using descriptive statistics and qualitative data analysis. RESULTS: In total, 302 health care managers took part in the study. The majority of primary health care managers perceive quality in health care as process quality. They associate quality mostly with compliance to standards. At the same time, primary health care managers prefer to assess outcome quality via a system of indicators and feedback. There appears to be a lack of consensus about health care quality. This may be due to a lack of awareness of the national strategy for better quality of health care service. CONCLUSIONS: Our study provides new insights into primary care managers' perceptions of health care quality in Ukraine. The absence of a clear consensus about quality complicates the discussion about quality and how to measure quality in health care. This appears to be one of the obstacles to system-wide quality improvement. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08300-y.
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spelling pubmed-92712442022-07-11 The perception of health care quality by primary health care managers in Ukraine Anufriyeva, Valentyna Pavlova, Milena Stepurko, Tetiana Groot, Wim BMC Health Serv Res Research BACKGROUND: Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. METHODS: An online survey was conducted as part of the Ukrainian-Swiss project “Medical Educational Development” in April–May 2019 based on the contact list of USAID project “Health Reform Support”, and additionally on the database of the National Health Service of Ukraine and other channels. Data were analyzed using descriptive statistics and qualitative data analysis. RESULTS: In total, 302 health care managers took part in the study. The majority of primary health care managers perceive quality in health care as process quality. They associate quality mostly with compliance to standards. At the same time, primary health care managers prefer to assess outcome quality via a system of indicators and feedback. There appears to be a lack of consensus about health care quality. This may be due to a lack of awareness of the national strategy for better quality of health care service. CONCLUSIONS: Our study provides new insights into primary care managers' perceptions of health care quality in Ukraine. The absence of a clear consensus about quality complicates the discussion about quality and how to measure quality in health care. This appears to be one of the obstacles to system-wide quality improvement. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08300-y. BioMed Central 2022-07-10 /pmc/articles/PMC9271244/ /pubmed/35810293 http://dx.doi.org/10.1186/s12913-022-08300-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Anufriyeva, Valentyna
Pavlova, Milena
Stepurko, Tetiana
Groot, Wim
The perception of health care quality by primary health care managers in Ukraine
title The perception of health care quality by primary health care managers in Ukraine
title_full The perception of health care quality by primary health care managers in Ukraine
title_fullStr The perception of health care quality by primary health care managers in Ukraine
title_full_unstemmed The perception of health care quality by primary health care managers in Ukraine
title_short The perception of health care quality by primary health care managers in Ukraine
title_sort perception of health care quality by primary health care managers in ukraine
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271244/
https://www.ncbi.nlm.nih.gov/pubmed/35810293
http://dx.doi.org/10.1186/s12913-022-08300-y
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