Health System Reviews by Vijiji International.
Over the past four years, Vijiji International has been conducting a series of health system reviews for the rural health care access and policies on marginalized people. Vijiji International is now developing models of quality of care that underpin the measurement and improvement of health care quality in different health systems that affect the people in the rural areas. As Vijiji International is caring for quality in health there are lessons learnt from the reviews of health care quality. Vijiji International seeks to answer the question of what caring for quality means for a modern health care system by identifying what policies and approaches work best in improving quality of care.
Despite differences in health care system priorities, and in how quality-improvement tools are designed and applied, a number of common approaches and shared challenges emerged across the Reviews of Health Care Quality from which Vijiji International has analyzed. The most important of these concerns is the transparency. Vijiji has emphasized that Institutions and hospitals should encourage, and where appropriate require, health systems and health care providers to be open about the effectiveness, safety and patient-centredness of care they provide.
More measures of patient outcomes are also needed – especially those reported by patients themselves. These should underpin standards, guidelines, incentives and innovations in service delivery. Greater transparency can lead to optimization of both quality and efficiency – twin objectives which reinforce, rather than subvert, each other. In practical terms, greater transparency and better performance can be supported by changes in where and how care is delivered; changes in the roles of patients and professionals; and employing tools such as data and incentives more effectively.