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Beyond accreditation: A multi-track quality-enhancing strategy for primary health care in low- and middle-income countries

Show simple item record Saleh S.S. Alameddine M.S. Natafgi N.M.
dc.contributor.editor 2014 2017-10-18T13:35:51Z 2017-10-18T13:35:51Z 2014
dc.identifier 10.2190/HS.44.2.k
dc.identifier.issn 00207314
dc.description.abstract Many define an equitable health care system as one that provides logistical and financial access to quality care to the population. Realizing that fact, many low- and middle-income countries started investing in enhancing the quality of care in their health care systems, recently in primary health care. Unfortunately, in many instance, these investments have been exclusively focused on accreditation due to available guidelines and existing accrediting structures. A multi-track quality-enhancing strategy (MTQES) is proposed that includes, in addition to promoting resource-sensitive accreditation, other quality initiatives such as clinical guidelines, performance indicators, benchmarking activities, annual quality-enhancing projects, and annual quality summit-meeting. These complementary approaches are presented to synergistically enhance a continuous quality improvement culture in the primary health care sector, taking into consideration limited resources available, especially in low- and middle-income countries. In addition, an implementation framework depicting MTQES in three-phase interlinked packages is presented; each matches existing resources and quality infrastructure. Health care policymakers and managers need to think about accreditation as a beginning rather than an end to their quest for quality. Improvements in the structure of a health delivery organization or in the processes of care have little value if they do not translate to reduced disparities in access to quality care, and not merely access to care. © 2014, Baywood Publishing Co., Inc.
dc.format.extent Pages: (355-372)
dc.language English
dc.publisher Baywood Publishing Co. Inc.; AMITYVILLE
dc.relation.ispartof Publication Name: International Journal of Health Services; Publication Year: 2014; Volume: 44; no. 2; Pages: (355-372);
dc.source Scopus
dc.title Beyond accreditation: A multi-track quality-enhancing strategy for primary health care in low- and middle-income countries
dc.type Article
dc.contributor.affiliation Saleh, S.S., American University of Beirut, Sweden
dc.contributor.affiliation Alameddine, M.S., Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut (AUB), P.O. Box 11-0236, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Natafgi, N.M., Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Lebanon
dc.contributor.authorAddress Alameddine, M.S.; Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut (AUB), P.O. Box 11-0236, Beirut 1107 2020, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Health Sciences; Department: Health Management and Policy;
dc.contributor.authorDepartment Health Management and Policy
dc.contributor.faculty Faculty of Health Sciences
dc.contributor.authorInitials Saleh, SS
dc.contributor.authorInitials Alameddine, MS
dc.contributor.authorInitials Natafgi, NM
dc.contributor.authorReprintAddress Alameddine, MS (reprint author), Amer Univ Beirut, Dept Hlth Management and Policy, Van Dyck Room 136,POB 11-0236, Beirut 11072020, Lebanon.
dc.contributor.authorUniversity American University of Beirut
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dc.description.citedTotWOSCount 0
dc.description.citedWOSCount 0
dc.format.extentCount 18
dc.identifier.coden IJHSC
dc.identifier.pubmedID 24919309
dc.identifier.scopusID 84899515392
dc.publisher.address 26 AUSTIN AVE, PO BOX 337, AMITYVILLE, NY 11701 USA
dc.relation.ispartOfISOAbbr Int. J. Health Serv.
dc.relation.ispartOfIssue 2
dc.relation.ispartofPubTitle International Journal of Health Services
dc.relation.ispartofPubTitleAbbr Int. J. Health Serv.
dc.relation.ispartOfVolume 44
dc.source.ID WOS:000335388900011
dc.type.publication Journal
dc.subject.otherIndex developing world
dc.subject.otherIndex health care
dc.subject.otherIndex health risk
dc.subject.otherIndex population structure
dc.subject.otherIndex primary health care
dc.subject.otherIndex quality of life
dc.subject.otherIndex resource availability
dc.subject.otherIndex accreditation
dc.subject.otherIndex article
dc.subject.otherIndex developing country
dc.subject.otherIndex forecasting
dc.subject.otherIndex health care disparity
dc.subject.otherIndex health care planning
dc.subject.otherIndex health care policy
dc.subject.otherIndex human
dc.subject.otherIndex organization and management
dc.subject.otherIndex poverty
dc.subject.otherIndex primary health care
dc.subject.otherIndex total quality management
dc.subject.otherIndex Accreditation
dc.subject.otherIndex Developing Countries
dc.subject.otherIndex Forecasting
dc.subject.otherIndex Health Policy
dc.subject.otherIndex Health Resources
dc.subject.otherIndex Healthcare Disparities
dc.subject.otherIndex Humans
dc.subject.otherIndex Poverty
dc.subject.otherIndex Primary Health Care
dc.subject.otherIndex Quality Improvement
dc.subject.otherKeywordPlus HOSPITAL ACCREDITATION
dc.subject.otherKeywordPlus CLINICAL GUIDELINES
dc.subject.otherKeywordPlus PERFORMANCE
dc.subject.otherKeywordPlus IMPROVEMENT
dc.subject.otherKeywordPlus EQUITY
dc.subject.otherKeywordPlus ORGANIZATIONS
dc.subject.otherKeywordPlus PREVENTION
dc.subject.otherKeywordPlus EXPERIENCE
dc.subject.otherKeywordPlus MANAGEMENT
dc.subject.otherKeywordPlus PROGRAM
dc.subject.otherWOS Health Care Sciences and Services
dc.subject.otherWOS Health Policy and Services

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