QUALITY OF HEALTHCARE

Does health care provider pay for performance affect quality of care provided?

Does health care provider pay for performance affect quality of care provided?

Introduction

For many years, international development healthcare organizations thought that training was how to improve performance. In fact, to have an impact long-term training should not be an isolated activity. By cons, we must employ an integrated process that identifies the most appropriate solution by first identifying what the desired performance and then identifying hindering the achievement of the performance. This process must also ensure that quality is maintained by means of a monitoring and evaluation continuous.

The process of performance improvement, based on the model in Figure 1, helps to show us what factors contribute to the desired performance and what you can do to strengthen them. The use this process also helps ensure the transfer of training to the workplace where services are rendered to our ultimate clients: women and families.

The performance improvement is a process that involves the achievement of results desired institutional and individual. The purpose of the performance improvement is to provide services high quality health and long-lasting. Results are achieved through a process that takes into account the institutional context, which describes the desired performance, identifies gaps between desired performance and actual performance, identifies root causes, selects interventions to close gaps and measures changes in performance.

The performance measurement in health is a concern that dates back to of 19 th century (Nithingale, 1860) but the practical implementation has begun to be realized that ten years ago for lack of adequate information systems. In 1980-1990, under the pressure of public opinion and financial constraints facing the health system since the 1970s and in developing more powerful statistical tools, work on this theme develop. Indeed, in a context of limited public resources, governments examine whether public expenditures under the health function are used. As for patients, better informed, they want to be aware of the quality of care provided to them by different providers.

The system's contribution to health care is deemed minor (around 20% according to figures The most frequently cited A ), Which, in contrast, demonstrates the importance of the determinants related to individuals within a population, but also many other factors as the social and physical environment, the socio-economic level and its distribution, the level education or living conditions. Under these conditions, we understand that it is essential

Discussion & Analyses

When one intends to measure performance of a country or region in health, to clarify the scope of which we speak. Is there health system with all its components? Is it the health system as a whole, as was the case of the WHO report which was based on a broad concept of this system, including all factors contributing to better health such as education, social support or level of income and its distribution? Most country comparisons, as the work of the European community who are interested in life expectancy at birth or in the quality of life, without going so far as WHO, ...