Crossing the Global Quality Chasm: Improving Health Care Worldwide

National Academies of Sciences, Engineering, and Medicine

doi:10.17226/25152

Consensus Study Report

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Crossing the Global Quality Chasm

Improving Health Care Worldwide

(2018)

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.

Contributor(s): National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Global Health; Board on Health Care Services; Committee on Improving the Quality of Health Care Globally

RESOURCES AT A GLANCE

Report Recommendations

Video(s):

The Scope of the Problem

Health Systems of the Future

Topics

Suggested Citation

National Academies of Sciences, Engineering, and Medicine. 2018. Crossing the Global Quality Chasm: Improving Health Care Worldwide. Washington, DC: The National Academies Press. https://doi.org/10.17226/25152.

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Publication Info

334 pages | 6 x 9 |

ISBNs:

Paperback: 978-0-309-47789-5
Ebook: 978-0-309-47792-5

DOI: https://doi.org/10.17226/25152

Chapters		skim
Front Matter	i-xxiv
Summary	1-22
1 Introduction	23-52
2 The Path to a High-Quality Future: The Need for a Systems Approach and a Person-Centered System	53-78
3 Optimizing the Patient Journey by Leveraging Advances in Health Care	79-128
4 The Current State of Global Health Care Quality	129-168
5 High-Quality Care for Everyone: Making Informal Care Visible and Addressing Care Under Extreme Adversity	169-202
6 The Critical Health Impacts of Corruption	203-226
7 Embedding Quality Within Universal Health Coverage	227-268
8 Establishing a Culture of Continual Learning	269-292
Appendix A: Public Meeting Agendas	293-296
Appendix B: Methods for Rapid Review	297-300
Appendix C: Committee Member Biosketches	301-308
Appendix D: Methods for Chapter 4	309-374

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Videos

The Scope of the Problem

In the report "Crossing the Global Quality Chasm: Improving Health Care Worldwide," a committee of the National Academies of Sciences, Engineering, and Medicine recommends a comprehensive, systems-thinking approach to transform the design of health care globally. This video highlights the gaps that remain between what is achievable in human health and where global health stands today.

Health Systems of the Future

In the report "Crossing the Global Quality Chasm: Improving Health Care Worldwide," a committee of the National Academies of Sciences, Engineering, and Medicine calls for urgent, comprehensive efforts to transform the design of health care globally. This video provides an overview of some of the committee's recommended actions.

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