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                  <text>VOL. 3 ISSUE 2 2023</text>
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                  <text>Sri Wahyuni</text>
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                <text>Editorial Board IJQHC Communications Vol 3, Issue 1,Year 2023</text>
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                  <text>VOL. 3 ISSUE 2 2023</text>
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                  <text>Sri Wahyuni</text>
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                <text>Applying the Model of the European Foundation for Quality Management to evaluate quality of care alongside the merger of mental health care institutes in Amsterdam: a five year pre–post study (ORIGINAL ARTICLE)</text>
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            <description>The topic of the resource</description>
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                <text>quality improvement, quality management, audit, external quality assessment, peer assessment, other quality evaluation (EFQM), health care system</text>
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                <text>Background: Health care reforms over the past decades in the Netherlands enforced institutions to enhance quality and to contain costs. To cope &#13;
with the policy context, a majority of mental health care institutes applied a merger strategy and hence large mental health care organizations &#13;
were created. This study assesses the impact of a merger and the related quality management approach on the quality of care of three large &#13;
Dutch mental health care institutes in Amsterdam. The nine criteria of the Model of the European Foundation for Quality Management (EFQM &#13;
Model) with 32 criteria parts for total quality management were used.&#13;
Method: A case study with a pre–post design was applied, with the EFQM baseline (pre) and follow-up (post) assessments using the standardized &#13;
EFQM protocol with a 0%–100% scoring system. The baseline status of 2007–2008 was scored and validated by seven independent certified &#13;
assessors. During a period of 5 years, the merge was conducted, enhancing the quality management and effectuating the findings of the advice &#13;
of the feedback report. An EFQM post-assessment of the status of 2012–2013 was carried out by five independent certified assessors applying &#13;
the strict EFQM assessment protocol. The statistics of pre–post differences were evaluated. The study can be seen as a before–after assessment &#13;
of a naturalistic experiment.&#13;
Results: The comparison of the nine EFQM criteria before and after the merger on the bases of the scores of the assessors shows an overall &#13;
improvement from 358 to 425 points on the EFQM scale 0–1000. There is one slight deterioration concerning criterion 8: Society Results, &#13;
five criteria show positive changes. The top three criteria with the highest improvement are 1: Leadership (15% improvement), 5: Processes, &#13;
Products, and Services (12%), 6: Customer Results (15%). The overall statement of the audit team of 2013 is ‘The merged organisation strives &#13;
for effectiveness, which leads to better results in most of the areas.’ Learning from the results is one recommendation of the assessors for the &#13;
future.&#13;
Conclusion: The conduced merge of three Dutch mental health care institutions in Amsterdam showed an improvement of quality based on the &#13;
criteria of the EFQM Model over a period of 5 years. This naturalistic experiment can stimulate further studies about mergers. The systematic &#13;
and transparent approach and documentation can facilitate mutual learning.</text>
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                <text>Udo Nabitz, Niek Klazinga, Jeroen Muller, Mark Schramade, Marijke Lans, Dick Osseman</text>
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                <text>DOI:https://doi.org/10.1093/ijcoms/lyad009</text>
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            <name>Publisher</name>
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                <text>Oxford University Press</text>
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                <text>13 July 2023</text>
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                <text>Sri Wahyuni</text>
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                <text>English</text>
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        <name>Audit</name>
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        <name>other quality evaluation (EFQM)</name>
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        <name>quality improvement</name>
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                  <text>VOL. 3 ISSUE 2 2023</text>
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                  <text>Sri Wahyuni</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Mortality-based indicators for measuring health system performance and population health in high-income countries: a systematic review (SYSTEMATIC REVIEW)</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="119901">
                <text>mortality indicators, population health, systematic review</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="119902">
                <text>Objectives: Mortality-based indicators are commonly used as measures of population health but less frequently applied to measuring health &#13;
system performance. This systematic review aimed to identify and describe mortality indicators relevant to the measurement of population &#13;
health and health system performance in high-income countries.&#13;
Methods: We searched peer-reviewed databases (MEDLINE, Embase, CINAHL, Health Business Elite, Health Policy Reference Center, and &#13;
POPLINE) and grey literature (government agencies, professional associations, and international/non-governmental health organizations). The &#13;
search was limited to indicators identified for use in high-income countries. We extracted information on indicator characteristics and alignment &#13;
with dimensions of effectiveness, efficiency, and equity. We assessed the applicability of the indicator to the context of population health, health &#13;
system, or both settings, alignment with SMART criteria (specific, measurable, actionable, relevant, and timely), and potential for analyses of &#13;
population subgroups. Health system was defined as encompassing both medical care and public health services and activities.&#13;
Results: We extracted 385 mortality-based indicators from 240 sources. Indicators were organized into six major domains: all-cause mortality &#13;
(n = 12), premature mortality (n = 92), life expectancy (n = 23), cause-specific mortality (n = 127), infant, child, and adolescent mortality (n = 50), &#13;
and hospital-related mortality (n = 81). The majority of indicators (86%) could be applied to measuring health system performance. Premature &#13;
mortality indicators showed the most potential to measuring both population health and health system performance.&#13;
Conclusions: This review compiled a wide range of mortality indicators relevant to measuring health system performance in high-income &#13;
countries. Indicators of premature mortality were most relevant to measuring both population health and health system performance</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="119903">
                <text>Catherine Y. Liang, Kathy Kornas, Catherine Bornbaum, Jennifer Shuldiner, Eric De Prophetis, Emmalin Buajitti, Beata Pach, Laura C. Rosella</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="119904">
                <text>DOI:https://doi.org/10.1093/ijcoms/lyad010</text>
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              <elementText elementTextId="119905">
                <text>Oxford University Press</text>
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                <text>26 July 2023</text>
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              <elementText elementTextId="119907">
                <text>Sri Wahyuni</text>
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                <text>English</text>
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        <name>mortality indicators</name>
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        <name>population health</name>
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        <name>Systematic review</name>
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                  <text>VOL. 3 ISSUE 2 2023</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="118813">
                  <text>Sri Wahyuni</text>
                </elementText>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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            <description>A name given to the resource</description>
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                <text>Tuberculosis case finding in a public healthcare setting in South Africa: using QI worksheets and a social network learning platform for rapid data-driven improvement (ORIGINAL ARTICLE)</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>quality improvemement, TB case identification, data for improvement</text>
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                <text>Background: The Coronavirus 2019 (COVID-19) pandemic diverted attention and resources away from tuberculosis (TB) and other non-COVID &#13;
services and decreased clinic attendance.&#13;
Objective: The objective was to rapidly restore TB case finding to pre-pandemic levels using a data-driven, quality improvement (QI) approach, &#13;
adapted to constraints of the pandemic.&#13;
Method: A mixed-methods assessment of a QI intervention in 129 health facilities from five rural health districts in KwaZulu-Natal province was &#13;
performed. Eight worksheets guided clinical teams, using QI principles, to improve routine data quality and implement preselected change ideas &#13;
for TB case finding in Human Immunodefiency Virus-positive clinic subpopulations. Facility teams shared data and learnings and were coached &#13;
in person and via a social media platform and virtual encounters.&#13;
Results: We observed high rates of engagement by district TB managers and facility teams (94% of facilities posted worksheets on WhatsApp &#13;
each month). The number of worksheets posted, TB investigations undertaken, and TB cases confirmed increased rapidly over time. Facility data &#13;
quality improved significantly over time (median 40% errors at start vs 5% errors at end).&#13;
Conclusion: The Sprint initiative showed that a novel simplified QI intervention that integrated clinical protocols and data tracking was rapidly &#13;
adopted and improved TB case finding despite the constraints of the COVID-19 pandemic. Two key innovations—a simplified set of data-focused &#13;
QI worksheets and a social engagement and learning platform—were used to drive a focused QI effort. The approach should be considered for &#13;
improving gaps in focused health system priorities in low- and middle-income country settings beyond the pandemic</text>
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                <text>MicheleYoungleson, MaureenTshabalala, Jacqueline Ngozo, Nokuthula Zulu, Nelson Kamoga&#13;
, Zanele Linda, Sodzi Sodzi-Tettey, Pierre Barker</text>
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                <text>DOI:https://doi.org/10.1093/ijcoms/lyad011</text>
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                <text>31 July 2023</text>
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                <text>Sri Wahyuni</text>
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                <text>In January 2023, the Science and Security Board of the Bul�letin of the Atomic Scientists moved the hands of the Dooms�day Clock forward to 90 s before midnight, reflecting the &#13;
growing risk of nuclear war [1]. In August 2022, the UN &#13;
Secretary-General, Antonio Guterres warned that the world &#13;
is now in ‘a time of nuclear danger not seen since the height of &#13;
the Cold War’ [2]. The danger has been underlined by growing &#13;
tensions between many nuclear armed states [1, 3]. As editors &#13;
of health and medical journals worldwide, we call on health &#13;
professionals to alert the public and our leaders to this major &#13;
danger to public health and the essential life support systems &#13;
of the planet—and urge action to prevent it.</text>
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                <text>Time to treat the climate and nature crisis as one indivisible global health emergency (EDITORIAL)</text>
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                <text>Over 200 health journals call on the United Nations, politi�cal leaders, and health professionals to recognize that climate &#13;
change and biodiversity loss are one indivisible crisis and must &#13;
be tackled together to preserve health and avoid catastrophe. &#13;
This overall environmental crisis is now so severe as to be a &#13;
global health emergency.</text>
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                <text>Quality of antenatal care in primary health care in Brazil: a latent class analysis (ORIGINAL ARTICLE)</text>
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                <text>Background: Adequate antenatal care (ANC) is fundamental in preventing maternal and neonatal mortality. Developing indicators for assessing &#13;
the ANC quality in Primary Health Care (PHC) is essential.&#13;
Objective: To characterize subgroups of quality of care with respect to ANC at the PHC level in Brazil.&#13;
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(PMAQ-AB) Cycle (2011–2012). A total of 16 566 PHC teams participated in the first cycle of the PMAQ-AB, corresponding to 49.6% of the teams &#13;
active across Brazil, distributed across 69.3% of Brazilian municipalities. To assess the quality of ANC, six indicators were defined: ‘Group of &#13;
medicines,’ ‘Protocols and patient flows,’ ‘Record-keeping practices,’ ‘ANC routine tests,’ ‘Protocols for early detection of pregnant women and &#13;
ANC provision,’ and ‘Identification and ANC of low/high-risk pregnancies.’ Latent Class Analysis (LCA) was carried out to characterize the quality &#13;
of care provided by PHC teams according to these six indicators.&#13;
Results: ‘Identification and ANC of low/high-risk pregnancies’ indicator had the highest percentage of teams providing adequate care (39.5%), &#13;
while ‘ANC routine tests’ had the lowest percentage (16.8%). The LCA identified three classes, and 20.5% of PHC teams had the probability of &#13;
belonging to the class denominated ‘High adequacy.’&#13;
Conclusion: Using a national PHC-level dataset, we evaluated PHC teams’ ANC adequacy through six indicators. Brazilian PHC teams consis�tently show weaknesses across these indicators, particularly in essential care. This approach can guide global initiatives to evaluate the quality &#13;
of ANC.</text>
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                <text>Naiá Ortelan , Maria Del Pilar Flores-Quispe, Leandro A. da Luz , Valentina Martufi, Eduarda F. dos Anjos, Acácia M. P. de Lima, Josemir R. de Almeida, Michelle P. V. dos Passos, Ythalo H. S. Santos , Leila D.A.F. Amorim , Rosana Aquino, &#13;
Anya P. G. F. Vieira-Meyer , Maria Yury T. Ichihara&#13;
, Mauricio L. Barreto , Elzo P. Pinto-Junior</text>
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                <text>DOI:https://doi.org/10.1093/ijcoms/lyad014</text>
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                <text>Sri Wahyuni</text>
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                <text>A qualitative interview study among clinicians managing trauma patients: identifying barriers and potential solutions to improving a trauma registry in a lower-to-middle-income country (ORIGINAL ARTICLE)</text>
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                <text>Background: The ability to adapt clinical management of trauma in many lower- and middle- income countries (LMICs) has been historically &#13;
constrained by nonexistent or inadequate data registries. These registries suffer from a variety of issues including administrative, logistical, &#13;
educational, feasibility, and financial barriers.&#13;
Objective: The present study aimed to survey physicians at a representative hospital with documented trauma record deficiencies regarding &#13;
their experiences with the current registry system, barriers that affect the current system, and recommendations for improvement.&#13;
Methods: This study was a qualitative analysis of the experiences and opinions of trauma physicians in the Emergency Department of Beni-Suef &#13;
University Hospital. Eight participants underwent a semi-structured interview covering the aforementioned topics. The interviews were then &#13;
coded to identify prominent themes, from which quotes that epitomized these themes were selected.&#13;
Results: The participants identified issues with the current data registry system that corroborates prior quantitative data at the location, particu�larly stressing the lack of critical information affecting patient care and safety including mechanisms of injury, patient identification information, &#13;
and time courses. Clinical duties and staffing were identified as primary barriers as the large patient volume seen in under-resourced hospitals &#13;
precludes the ability of the physician to adequately complete documentation. Simplicity and practical workflow modification in conjunction with &#13;
increased data utilization in the form of research output were stressed as desirable features that could facilitate the improvement of the current &#13;
system.&#13;
Conclusion: Data registries enable hospitals and public health systems to engage in primary and secondary interventions, thereby reducing &#13;
clinical volume loads and increasing clinical efficacy. After engaging in constructive discussion with physicians on the trauma care team at &#13;
Beni-Suef University Hospital, the goal of workflow modification within existing resources was established as the primary guiding principle for &#13;
subsequent interventional stages in improving the current trauma registry</text>
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                <text>Zeinab Mohammed, Yaseen Saleh, Eman Mohammed AbdelSalam, Emad El-Bana, El-Morsy Ahmed El-Morsy, Shaimaa Senosy, Jon Mark Hirshon</text>
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