Crossing the Global Quality Chasm

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally.Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas.Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.Table of ContentsFront MatterSummary1 Introduction2 The Path to a High-Quality Future: The Need for a SystemsApproach and a Person-Centered System3 Optimizing the Patient Journey by Leveraging Advances in HealthCare4 The Current State of Global Health Care Quality5 High-Quality Care for Everyone: Making Informal Care Visible andAddressing Care Under Extreme Adversity6 The Critical Health Impacts of Corruption7 Embedding Quality Within Universal Health Coverage8 Establishing a Culture of Continual LearningAppendix A: Public Meeting AgendasAppendix B: Methods for Rapid ReviewAppendix C: Committee Member BiosketchesAppendix D: Methods for Chapter 4