Matrix Jurnal

Book Project 1B- Amira, MD

Quality of Health Care
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No Judul Method & Populasi Sample Conclusions Author Published
1 Health Care Spending and Quality in Seven provider organizations began 5-year contracts as The AQC system was associated with a Zirui Song, B.A., Dana Gelb Safran, NEJM
Year 1 of the Alternative Quality part of the AQC system in 2009. We analyzed 2006–2009 modest slowing of spending growth and Sc.D., Bruce E. Landon, M.D.,
Contract claims for 380,142 enrollees whose primary care improved quality of care in 2009. Savings M.B.A., Yulei He, Ph.D., Randall P.
physicians (PCPs) were in the AQC system (intervention were achieved through changes in referral Ellis, Ph.D., Robert E. Mechanic,
group) and for 1,351,446 enrollees whose PCPs were not patterns rather than through changes in M.B.A., Matthew P. Day, F.S.A.,
in the system (control group). We used a utilization. The long-term effect of the AQC M.A.A.A., and Michael E. Chernew,
propensityweighted difference-in-differences approach, system on spending growth depends on Ph.D.
adjusting for age, sex, health status, and secular trends to future budget targets and providers’ ability
isolate the treatment effect of the AQC in comparisons of to further improve efficiencies in practice.
spending and quality between the intervention group and (Funded by the Commonwealth Fund and
the control group others.)

2 Effects of Pay for Performance on the We conducted an interrupted time-series analysis of the
Quality of Primary Care in England quality of care in 42 representative family practices, with
data collected at two time points before implementation
of the scheme (1998 and 2003) and at two time points
after implementation (2005 and 2007). At each time
point, data on the care of patients with asthma, diabetes,
or coronary heart disease were extracted from medical
records; data on patients’ perceptions of access to care,
continuity of care, and interpersonal aspects of care were
collected from questionnaires. The analysis included
aspects of care that were and those that were not
associated with incentives.
Against a background of increases in the Stephen M. Campbell, Ph.D., David The new england journal
quality of care before the pay-for- Reeves, Ph.D., Evangelos of medicine
performance scheme was introduced, the Kontopantelis, Ph.D., Bonnie
scheme accelerated improvements in quality Sibbald, Ph.D., and Martin Roland,
for two of three chronic conditions in the D.M.
short term. However, once targets were
reached, the improvement in the quality of
care for patients with these conditions
slowed, and the quality of care declined for
two conditions that had not been linked to
incentives. Continuity of care was reduced
after the introduction of the scheme.
3 HUBUNGAN MUTU PELAYANAN Penelitian ini merupakan penelitian survey analitik,
KESEHATAN DENGAN KEPUASAN dimana penelitian ini bertujuan untuk mencari hubungan
PASIEN DIRUANGAN POLI UMUM antara variabel yang diteliti dengan menggunakan desain
PUSKESMAS BUKITTINGGI cross sectional dimana variabel independen
4 ANALISIS HUBUNGAN PERSEPSI Penelitian ini merupakan penelitian dengan metode
PASIEN TENTANG MUTU deskriptif korelasi. Populasi penelitian yang diambil
PELAYANAN KESEHATAN DENGAN adalah seluruh pasien/keluarga yang menggunakan jasa
TINGKAT KEPUASAN PASIEN DI pelayanan kesehatan di Puskesmas Penumping. Hasil
PUSKESMAS PENUMPING KOTA studi pendahuluan pada tanggal 10 mei 2006 yang
SURAKARTA dilakukan oleh peneliti didapatkan bahwa rekapitulasi
kunjungan pasien di Puskesmas Penumping dalam tahun
2005 sebanyak 53.368 pasien (rata-rata 171 pasien/hari).
Sampel adalah sebagian atau wakil dari populasi yang
akan diteliti (Arikunto, 2002). Metode pengambilan
sample adalah dengan simple random sampling,
Berdasarkan hasil penelitian dapat Aida Andriani
disimpulkan beberapa hal sebagai
berikut:Hampir sebagian pasien didapatkan
27 orang (41,5%) yang menyatakan mutu
pelayanan rendah di Ruangan Poli Umum
Puskesmas Tigo Baleh.2 Hanya sebagian
kecil 3 orang (4,6%) yang mengatakan tidak
puas terhadap pelayanan di Ruangan Poli
Umum Puskesmas Tigo Baleh.Ada hubungan
yang bermakna antara pemberian mutu
pelayanan dengan kepuasan pasien
dipuskesmas tigo baleh Bukittinggi tahun
2014 dengan p value = 0,067.
Berdasarkan hasil pengamatan dan analisis
data, maka dapat disimpulkan sebagai
berikut: 1. Dari 111 pasien 37,8 %
menyatakan mutu pelayanan masih rendah,
dan 39,6% menyatakan kepuasan pasien
masih rendah.
2. Berdasarkan uji statistik membuktikan
bahwa ada hubungan yang positif dan
signifikan antara mutu pelayanan kesehatan
dengan kepuasan pasien rawat jalan di
Puskesmas Penumping Kota Surakarta.
3. Berdasarkan hasil uji multi variat ternyata
sub variabel mutu pelayanan kesehatan di
Puskesmas Penumping secara bersama-
sama memberi kontribusi sebesar 59,9%
terhadap kepuasan pasien.
5 Perceptions of quality in primary
health care: perspectives of patients
and professionals based on focus
group discussions
6 Two sides of the coin: patient and
provider perceptions of health care
delivery to patients from culturally
and linguistically diverse backgrounds
study as a qualitative research method for exploration of
attitudes regarding the health care system and health
service. There were two types of focus groups involving
patients and primary health care professionals separately.
Each group consisted of 8 to 10 people, which represents
the ideal size of a focus group
A total of 50 members participated. All focus groups were
conducted in the participants’ language and facilitated by
a trained multicultural health worker. In addition, 14
health care providers were interviewed by telephone.
Interviews were digitally recorded and transcribed. All
qualitative data were analysed with the assistance of QSR
NVivo 8 software.
this study shows, at inter-national level, the Renata Papp1*, Ilona Borbas2, Eva Papp et al. BMC Family
perceptions and views of patients interacting Dobos1, Maren Bredehorst3, Lina Practice 2014, 15:128
with PHC and opinions of professionals Jaruseviciene4, Tuulikki Vehko5 and http://www.biomedcentra
working in PHC. Sandor Balogh1 l.com/1471-2296/15/128
the personality of the GP is a determinant of
the quality of care but is difficult to be
planned and influenced.
The evolution of PHC models operated by
different European countries has been
guided over the long term by country-
specific requirements. However, despite
their differences, we have found that the
shared challenges in PHC quality for the
studied countries are access, equity,
appropriateness, and organizational
responsiveness to patient and professional
needs.
Linguis-tic and cultural incompatibilities Nera Komaric1*, Suzanne Bedford2 Komaric et al. BMC Health
between patient and health care provider and Mieke L van Driel1,2,3 Services Research 2012,
need to be redressed in addition to 12:322
providing resources for patients to http://www.biomedcentra
understand health-related issues and l.com/1472-6963/12/322
manage their health.
Cultural com-petencies include recognising
the multiple diversities within diversity
which supports developing culturally tai-
lored interventions and results in recognising
all migrants and refugees being different in
terms of health status and health care
experiences, cultural and social and environ-
mental determinants of health.
7 Delivery of primary health care to
persons who are socio-economically
disadvantaged: does the
organizational delivery model matter?
8 Rapid assessment of infrastructure of
primary health care facilities – a
relevant instrument for health care
systems management
Cross sectional study of 5,361 patients receiving care
from primary care practices using Capitation, Salaried or
Fee-For-Service remuneration models. We assessed self-
reported health status of patients, visit duration, number
of visits per year, quality of health service delivery, and
quality of health promotion. We used multi-level
regressions to study service delivery across socio-
economic groups and within each delivery model.
Identified disparities were further analysed using a t-test
to determine the impact of service delivery model on
equity.
A rapid assessment tool for the infrastructure of primary
health care facilities was developed by the authors and
pilot-tested in Tanzania. The tool measures the quality of
all infrastructural components comprehensively and with
high standardization. Ratings use a 2-1-0 scheme which is
frequently used in Tanzanian health care services.
Infrastructural indicators and indices are obtained from
the assessment and serve for reporting and tracing of
interventions.
Primary care service measures did not differ Simone Dahrouge1,2,3,4*, William Dahrouge et al. BMC
significantly across socio-economic status or Hogg1,2,3,4, Natalie Ward2,5, Meltem Health Services Research
primary care delivery models. In Ontario, Tuna6, Rose Anne Devlin7, Elizabeth 2013, 13:517
capitation-based remuneration is age and Kristjansson3,8, Peter Tugwell3,4,6,9,10 http://www.biomedcentra
sex adjusted only. Patients of low socio- and Kevin Pottie1,2,4,9 l.com/1472-6963/13/517
economic status had fewer additional visits
compared to those with high socio-
economic status under the Capitation
model. This raises the concern that
Capitation may not support the provision of
additional care for more vulnerable groups.
Regions undertaking primary care model
reforms need to consider the potential
impact of the changes on the more
vulnerable populations.
Stefan Scholz1*†, Baltazar
Scholz et al. BMC Health
Services Research (2015)
Ngoli2 and Steffen Flessa1† 15:183
DOI 10.1186/s12913-015-0838-8
Applying WHO criteria [17], the collection and analysis of data on facility infrastructure by using the rapid assess-ment to