The perception of health care quality by primary health care managers in Ukraine

Background Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. Methods An online survey was conducted as part of the Ukrai...

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Bibliographic Details
Published in:BMC health services research 2022-07, Vol.22 (1), p.1-895, Article 895
Main Authors: Anufriyeva, Valentyna, Pavlova, Milena, Stepurko, Tetiana, Groot, Wim
Format: Article
Language:English
Subjects:
Evaluation
Family physicians
Health care access
Health care management
Health care policy
Health care quality
Health facilities
Health services
Managers
Medical care
Medical personnel
Patient satisfaction
Perceived quality
Perceptions
Performance management
Physicians
Primary care
Primary health care
Quality management
Questionnaires
Reforms
Service quality
Ukraine
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Summary:Background Ukraine is reforming its health care system to improve quality of health care. Insight into how primary health care managers perceive quality is important for the ongoing reform as well as for the improvement of medical services. Methods An online survey was conducted as part of the Ukrainian-Swiss project "Medical Educational Development" in April-May 2019 based on the contact list of USAID project "Health Reform Support", and additionally on the database of the National Health Service of Ukraine and other channels. Data were analyzed using descriptive statistics and qualitative data analysis. Results In total, 302 health care managers took part in the study. The majority of primary health care managers perceive quality in health care as process quality. They associate quality mostly with compliance to standards. At the same time, primary health care managers prefer to assess outcome quality via a system of indicators and feedback. There appears to be a lack of consensus about health care quality. This may be due to a lack of awareness of the national strategy for better quality of health care service. Conclusions Our study provides new insights into primary care managers' perceptions of health care quality in Ukraine. The absence of a clear consensus about quality complicates the discussion about quality and how to measure quality in health care. This appears to be one of the obstacles to system-wide quality improvement. Keywords: Health care quality, Perceived quality, Service quality, Health care management, Primary health care, Ukraine
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-022-08300-y