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Building a responsive healthcare system - A Nigerian experience.
A Dada1, O I Olaopa2, T O Chukwuanukwu3
1Orthopedics and Trauma, Department of Surgery, Medical Director/Chief Executive Officer, Federal Medical Centre, Ebute-Metta, Lagos State, Nigeria.
Nigerian Journal of Clinical Practice
|October 29, 2022
Summary
Federal Medical Centre, Ebute-Metta, Lagos, Nigeria, improved healthcare quality by addressing service failures and resource challenges. This led to a significant increase in their SafeCare quality assessment score.
Area of Science:
- Healthcare Management
- Quality Improvement in Health Systems
- Patient-Centered Care
Background:
- Healthcare systems must be responsive to client needs, encompassing dignity, confidentiality, autonomy, and choice.
- Maintaining healthcare quality improves patient outcomes and reduces costs.
Purpose of the Study:
- To outline the Federal Medical Centre's (FMC), Ebute-Metta, Lagos, Nigeria, approach to overcoming health sector challenges.
- To provide recommendations for future health system development in Nigeria.
Main Methods:
- A diagnosis of quality service delivery issues was conducted over 18 months.
- Tools included mystery shopping, patient experience surveys, and the SafeCare quality improvement methodology.
Main Results:
- Identified problems included service failures, financial leakages, human resource issues, infrastructural deficits, and lack of technological support.
- Baseline SafeCare quality assessment score was 45%, improving to 69% upon follow-up.
Conclusions:
- An 18-month strategic plan was developed focusing on human resources, service quality, infrastructure, financial re-engineering, and technology.
- Collaborative quality improvement initiatives with strong political will are recommended for sustained positive health system outcomes.
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