About: Hospital Mortality – a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries

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About: Hospital Mortality – a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Hospital Mortality – a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries
Creator	Chepkirui, Mercy Cherutich, Peter English, Mike Gathara, David Julius, Thomas Mwaniki, Paul Okiro, Emelda Ouma, Paul Snow, Robert
Source	Medline; PMC
abstract	BACKGROUND: There is increasing focus on the strength of primary health care systems in low and middle-income countries (LMIC). There are important roles for higher quality district hospital care within these systems. These hospitals are also sources of information of considerable importance to health systems, but this role, as with the wider roles of district hospitals, has been neglected. KEY MESSAGES: As we make efforts to develop higher quality health systems in LMIC we highlight the critical importance of district hospitals focusing here on how data on hospital mortality offers value: i) in understanding disease burden; ii) as part of surveillance and impact monitoring; iii) as an entry point to exploring system failures; and iv) as a lens to examine variability in health system performance and possibly as a measure of health system quality in its own right. However, attention needs paying to improving data quality by addressing reporting gaps and cause of death reporting. Ideally enabling the collection of basic, standardised patient level data might support at least simple case-mix and case-severity adjustment helping us understand variation. Better mortality data could support impact evaluation, benchmarking, exploration of links between health system inputs and outcomes and critical scrutiny of geographic variation in quality and outcomes of care. Improved hospital information is a neglected but broadly valuable public good. CONCLUSION: Accurate, complete and timely hospital mortality reporting is a key attribute of a functioning health system. It can support countries’ efforts to transition to higher quality health systems in LMIC enabling national and local advocacy, accountability and action.
has issue date	2018-03-01(xsd:dateTime)
bibo:doi	10.1186/s12916-018-1024-8
bibo:pmid	29495961
has license	cc-by
sha1sum (hex)	61472699f26e3bedce001d84f6e4791ac50652f0
schema:url	https://doi.org/10.1186/s12916-018-1024-8
resource representing a document's title	Hospital Mortality – a neglected but rich source of information supporting the transition to higher quality health systems in low and middle income countries
has PubMed Central identifier	PMC5833062
has PubMed identifier	29495961
schema:publication	BMC Med
resource representing a document's body	covid:61472699f26e3bedce001d84f6e4791ac50652f0#body_text
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