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Advice on quality assuranceFrom: Tengiz Asatiani (Tengiz.Asatiani@caucasus.net)Sat Dec 19 12:23:47 1998
Dear colleagues My name Tengiz Asatiani, form Georgia (former USSR) Currently I'm trying to develop a consensus on the basic minimum standards for women friendly services. This would then be used to feed the Georgian OB/GYN meeting in a while. In defining standards for those services, it seems two tendencies are emerging: - the use of a systemic approach ("inputs, process, outputs, outcomes") - the use of a rights based framework, empowering staff and involving the users The former model is used for defining protocols of care, deciding on performance levels, performing assessment of services provided, and eventually improving gaps between expected and observed levels . The advantage of this approach is that it enables all institutional stakeholders (service providers or managers) to get involved and to apply a very systematic and transparent process. The disadvantage of course is that users are usually not involved, that this is a top-down process, and that the focus lies on technical quality of care. The latter model should focus more attention to a holistic approach to delivery and perinatal care, by involving the parents/caretakers in the setting and assessment of standards. Of course, the specific reference-values will be context-specific, but the indicators (indicating where to focus our attention !) could be universal. We don't have examples for this approach . I would thus kindly ask to provide me practical experiences along the following lines: - provide examples of indicators for assessing quality of care and standards (even if they are context-specific), especially for a rights-based approach to quality - explain the process and lessons learned of developing and/or implementing a quality assurance process in different settings Thank you very much for your attention to this letter -------------------------------------------------------------------------------- -------------------------------------------------------------------------Tengiz Asatiani, MD. Ph.D. -- -------------------------------------------------------------------------Vice- President, Georgian OB/GYN Association
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