ArticleGlobalization and health2012
Crossing the quality chasm in resource-limited settings.
Article in Globalization and health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quality improvement in public-private partnerships in low- and middle-income countries: a systematic review.BMC health services research · 2024Pooled it
- Pooled it
- "Now that they come to our doorsteps to teach us these things…" - Postpartum contraception outcomes from a pre-post effectiveness-implementation study of an integrated community health worker intervention in rural Nepal.Reproductive health · 2025Trial
- Article
- Impact of hospital characteristics on implementation of a Pediatric Early Warning System in resource-limited cancer hospitals.Frontiers in oncology · 2023Article
- The role of nurse-client relationships in maternal and child healthcare: a qualitative study in rural Tanzania.Frontiers in health services · 2023Article
- Community-based postpartum contraceptive counselling in rural Nepal: a mixed-methods evaluation.Sexual and reproductive health matters · 2020Article
- Implementing a quality improvement initiative for the management of chronic obstructive pulmonary disease in rural Nepal.BMJ open quality · 2019Article
- Role of the general practitioner in improving rural healthcare access: a case from Nepal.Human resources for health · 2018Article
- HIV and early hospital readmission: evaluation of a tertiary medical facility in Lilongwe, Malawi.BMC health services research · 2018Article
- Bridging the intervention-implementation gap in primary health care delivery: the critical role of integrated implementation research.BMC health services research · 2017Article
- Implementing, improving and learning: cross-country lessons learned from the African Health Initiative.BMC health services research · 2017Article
- A mixed-methods needs assessment of adult diabetes mellitus (type II) and hypertension care in Toledo, Belize.BMC health services research · 2017Article
- Poor Quality for Poor Women? Inequities in the Quality of Antenatal and Delivery Care in Kenya.PloS one · 2017Article
- Globalization and Health: developing the journal to advance the field.Globalization and health · 2016Article
- Improving pneumococcal vaccination rates of medical inpatients in urban Nepal using quality improvement measures.BMJ quality improvement reports · 2016Article
- Enhancing governance and health system accountability for people centered healthcare: an exploratory study of community scorecards in Afghanistan.BMC health services research · 2015Article
- HIV and/or AIDS-related deaths and modifiable risk factors: A descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia.African journal of primary health care & family medicine · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Over the last decade, extensive scientific and policy innovations have begun to reduce the "quality chasm"--the gulf between best practices and actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely to be equally acute and deadly in resource-limited areas. While health systems have begun to be scaled up in impoverished areas, scale-up is just the foundation necessary to deliver effective healthcare to the poor. This perspective piece describes a vision for a global quality improvement movement in resource-limited areas. The following action items are a first step toward achieving this vision: 1) revise global health investment mechanisms to value quality; 2) enhance human resources for improving health systems quality; 3) scale up data capacity; 4) deepen community accountability and engagement initiatives; 5) implement evidence-based quality improvement programs; 6) develop an implementation science research agenda.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.