Health Care : Current Reviews

Quality issues in health care in changing scenario

3^rd Indo-Global Summit & Expo on Healthcare

October 05-07, 2015 New Delhi, India

V L Gupta

Avanti Institute of Cardiology Pvt. Ltd., India

Posters-Accepted Abstracts: Health Care: Current Reviews

Abstract:

Quality is a much more complicated term than it appears. Dictionary definitions are usually inadequate in helping a quality professional understand the concept. There are a variety of perspectives that can be taken in defining quality (e.g., customer�??s perspective, specification-based perspective). A modern definition of quality derives from Juranss "fitness for intended use". This definition basically says that quality is "meeting or exceeding customer expectations". Deming states that the customer�??s definition of quality is the only one that matters. Various terms as Quality Assurance (QA), Quality Control (QC), Quality Management and Continuous Quality Improvement (CQI) are used while discussing quality issues in health care management. Transition in Indian Health Scenario, because of rapid increase in population, numbers one need to deal with are exceptionally high and whenever quantity goes up, quality is compromised. This taxes our health care resources, economic resources but economics is improving faster and literacy and awareness about health is better, therefore, there is quality improvement and awareness and demand for the same. Chronic Kidney Disease V (CKDV) and End Stage Renal Disease (ESRD), scenario in late seventies and in 2013, explains this transition clearly. Quality issues in health care management can be dealt with two step approach. First step is to make quality count or apply all measures to improve quality in health care: Evidence Based Medicine at bedside, medical decision & analysis, regulatory, statutory and practice guidelines by regulatory authorities & professional societies, ICH-GCP guidelines, health economics analysis, complete or holistic health care and Accreditation. Second step is Quality care assessment of services provided: Death audit & medical audit, survival analysis, quality of life assessment, QUALYs, DALYs, users or patients�?? feedback and perception and external evaluation. And as follow up, apply, continuous quality improvement, (CQI) various instruments and scales are used for quality of life assessment, quality adjusted life years (QUALYs), and disability adjusted life years (DALYs) for feedback and analysis. This is explained by nephrology perspective especially dialysis.

Biography :

Email: vlgupta14@rediffmail.com