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Selecting topic areas for developing quality standards in a resource-limited setting
Roongnapa Khampang1, Sarayuth Khuntha1, Phorntida Hadnorntun1
1Health Intervention and Technology Assessment Program, Nonthaburi, Thailand.
BMJ Open Quality
|March 1, 2019
Summary
Quality standards (QS) can address variations in health promotion and disease prevention. This study outlines the priority-setting process for developing QS, selecting preterm birth, pre-eclampsia, and postpartum hemorrhage based on evidence and stakeholder input.
Area of Science:
- Health Services Research
- Public Health Policy
- Maternal and Child Health
Background:
- Geographical variations in health promotion and disease prevention practices and access exist in Thailand and globally.
- Quality standards (QS) offer a potential solution to standardize and improve healthcare services.
- Developing evidence-informed QS requires a robust priority-setting process.
Purpose of the Study:
- To provide an overview of the priority-setting process for developing quality standards (QS).
- To describe the criteria used in selecting priority topic areas for QS development.
- To identify key health issues in Thailand suitable for QS implementation.
Main Methods:
- An iterative topic selection process involving multiple steps and stakeholders.
- Review of existing documents on health technology assessment prioritization principles and criteria.
- Stakeholder consultation meetings to discuss healthcare problems and proposed criteria.
- Prioritization based on empirical evidence from literature and stakeholder experiences through a deliberative process.
Main Results:
- Preterm birth, pre-eclampsia, and postpartum hemorrhage were selected as priority topics for QS development.
- These conditions represent significant disease burdens, prevalent among pregnant women in Thailand.
- High maternal and child mortality and morbidity, alongside service variations, justified their selection.
Conclusions:
- Agreed-upon criteria are crucial for effective priority setting in QS development.
- Criteria should be developed and refined collaboratively with diverse stakeholders.
- Engaging implementers and stakeholders actively is essential for the success of QS initiatives.
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