Following on from 2015’s Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries, this book encompasses a global perspective on healthcare while shifting the focus from reform to showcasing success stories of healthcare systems worldwide. It provides explanations of why various facets of healthcare systems work well in different contexts and offers the reader alternative models for consideration. The book features contributions from 60 countries, going much further than the common practice of focusing on affluent Western nations, to provide a comprehensive exploration of the success of healthcare systems globally. The majority of literature on health-sector improvement attempts to address the problems within systems, relating the errors that can and do occur, for example, and offering solutions and preventative strategies. This book of country case studies will approach the enhancement of health systems, patient safety and the quality of care in a new and innovative way, comprehensively surveying and synthesizing the success stories of healthcare systems around the world, utilizing Hollnagel’s Safety-II approach to acknowledge the importance of exploring what goes right, what works well, and why it works. These success stories may include reference to macro, meso or micro levels of healthcare systems, various sectors (e.g., aged care, acute care or primary care), or specific programs or projects. Health System Improvement Across the Globe: Success Stories from 60 Countries is unprecedented in terms of both reach and positive emphasis, and as such will be instrumental in changing ways of thinking about and guiding health-sector improvement.


Table of Contents

Preface; Editors’ biographies; Authors’ biographies; Contributors; Acknowledgements; Introduction; Argentina: Successful Initiatives in Quality and Patient Safety in Argentina; Brazil: Knowledge Management for Quality Improvement in Brazil; Canada: Improving Stroke Outcomes in Canada: The Accreditation Canada Stroke Distinction Program; Chile: Constructing Symbolic Capital: A Case Study From Chile; Ecuador: Improving Hospital Management as Part of the Health Reform Process in Ecuador: The Case of Abel Gilbert Ponton Hospital; Guyana: Holistic Geriatric Mega-Clinics for Care of the Elderly in Guyana; Mexico: Monitoring and Evaluation Strategy of the Mexican Health Reform: Content, Conditions for Implementation and Sustainability; United States of America: The Use of Report Cards and Outcome Measurements to Improve the Safety of Surgical Care: The American College of Surgeons National Surgical Quality Improvement Program; Venezuela: Mision Barrio Adentro: Universal Health Coverage Efforts in Venezuela; Ghana: Health Workforce: Arresting the Brain Drain in Ghana; Namibia: A Public Health Approach to Quality Management: How a Disease-Specific Improvement Program Propelled a National Health-Systems-Wide Quality Program in Namibia; Nigeria: Removing the Imaginary Walls That Divide and Limit; Rwanda: Community-Based Health Insurance in Rwanda: How it Fostered Achievement of the Millennium Developments Goals; South Africa: The Development of an Equitable National Juristic Body to Regulate Public and Private Healthcare Establishments in South Africa—A Progress Report; West Africa: Quality Improvement in Ebola Affected Countries: From Recovery to Resilience; Austria: Stroke-Units in Austria: Incubators for Improved Health Outcomes; Denmark: Cancer Patient Pathways; England: A NICE Success Story From the English National Health Service; Estonia: Primary Healthcare Reform as a Promotor of Quality in the Estonian Healthcare System; Finland: Evidence Based Medicine and Health Information Technology: Transforming Clinical Practices in Finland; France: The French Healthcare System and its Alternative Approach to Patient Safety; Germany: Scaling up a Population-Based Integrated Healthcare System: The Case of ‘Healthy Kinzigtal’ in Germany; Ireland: St. James’s Hospital National Hemophilia System; Israel: A Nation-Wide Health Information Exchange Program in Israel: A Unique Case Study; Italy: Post-Marketing Successful Strategies to Manage Pharmaceutical Innovation; Malta: Reform of the Medical Profession and Reversal of Brain Drain in Malta—A Success Story; The Netherlands: Patient Safety in Dutch Hospitals: How Can We Explain Success?; Northern Ireland: Adopting a Collaborative Approach to Improve Care for Women and Their Babies in Northern Ireland; Norway: Improving Patient Safety in Norwegian Hospitals Through a Standardized Approach Towards the Measurement and Monitoring of Adverse Events; Portugal: Reducing Hospital Acquired Infection in Portuguese Hospitals: A Collaborative Approach Towards Quality Improvement; Russia: Progress in Healthcare Quality in Russia; Scotland: Partnership and Collaboration as the Hallmark of Scottish Healthcare Improvement; Serbia: Using Data to Protect Vulnerable Children; Spain: Organ Donation and Transplantation in Spain: ONT’s Success Story; Sweden: Sweden Mines the Gold in Clinical Data for Research and Better Patient Care; Switzerland: Switzerland’s Use of Breakthrough Collaboratives to Improve Patient Safety; Turkey: Establishment of a National Healthcare Accreditation System in Turkey; Wales: Implementing Shared Decision Making in Practice: Demonstrating Strategic Improvement; PART IV Eastern Mediterranean; Afghanistan: Improving Afghanistan’s Hospital Services: Implementation of Minimum Required Standards; The Gulf States: Unified Procurement of Pharmaceuticals and Medical Supplies for GCC Countries: A Great Success Story; Iran: Health Transformation Plan in Iran; Jordan: Health Care Accreditation Council of Jordan: Driving System Reform, Patient Safety, and Quality; Lebanon: “You don’t have to be superman to save lives. Give blood.” Improving the Health System Through Social Innovation: The Case of Donner Sang Compter; Oman: Al-Shifa Electronic Health Record System: From Simple Start to Paradigm Model; Pakistan: Health Systems, Accreditation and Databases—Pakistan’s Perspective; Qatar: Successful Implementation of a Deteriorating Patient Safety Net System in Qatar: The Qatar Early Warning System (QEWS); United Arab Emirates: Abu Dhabi Healthcare Reform: Improving Quality Through a Single Payment System; Yemen: Improvement of Basic Health Services in Yemen: A Successful Donor-Driven Improvement Initiative; PART V South-East Asia & Western Pacific; Australia: Two Decades of Evolving a Patient Safety System: An Australian Story of Reducing Harm to Deteriorating Patients; China: Self-Service Encounter System in Tertiary Hospitals; Fiji: A Context-Specific Approach to Primary Care Strengthening in Fiji; Hong Kong: Integrating Care for High Risk Elderly Patients After Discharge From Hospitals in Hong Kong; India: India’s Road Map to ‘Affordable & Safe Health for All’ Through PPP; Japan: Universal Insurance; Malaysia: From Maternal Mortality to Maternal Health—The Malaysian Experience; New Zealand: Ko Awatea: Improving Quality, Promoting Innovation; Papua New Guinea: Establishment of the Provincial Health Authority in Papua New Guinea; Taiwan: Taiwan’s Health Information Technology Journey: From Flash Drive to Health Cloud; Discussion and Conclusion; References; Index

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