A Novel Case-Finding Instrument for Chronic Obstructive Pulmonary Disease in Low- and Middle-Income Country Settings

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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal for Quality in Health Care
Abstract
Although widely utilized in resource-rich health care systems, the use of quality improvement (QI) techniques is less common in resource-limited environments. Uganda is a resource-limited country in Sub-Saharan Africa that faces many challenges with health care delivery. These challenges include understaffing, inconsistent drug availability and inefficient systems that limit the provision of clinical care. Initial assessment: Poor adherence to prescribed inpatient medications was identified as a key shortcoming of clinical care on the internal medicine wards of Mulago National Referral Hospital, Kampala, Uganda. Baseline data collection revealed a pre-intervention median inpatient medication adherence rate of 46.5% on the study ward. Deficiencies were also identified in attendant (lay caretaker) education, and prescriber and pharmacy metrics.
Description
Keywords
Quality improvement, Quality management, Training/education, Human resources, Leadership
Citation
Alupo, P., Ssekitoleko, R., Rabin, T., Kalyesubula, R., Kimuli, I., & Bodnar, B. E. (2017). Improving inpatient medication adherence using attendant education in a tertiary care hospital in Uganda. International Journal for Quality in Health Care, 1-6. doi: 10.1093/intqhc/mzx075