The document discusses quality measures in different service sectors such as health, education, and others. In healthcare, quality dimensions include availability, access, equity, technical competence, timeliness, safety, respect, efficiency, effectiveness, and amenities. Key factors are availability of necessary treatments, affordability, equal treatment of all patients, safety, and respectful care. In education, quality relies on academic staff qualifications, library services, laboratory facilities, infrastructure, and career prospects for students. The goal is to provide students with an excellent academic education and skills to succeed after graduation.
2. Various service sectors
Human health and social work activities
Wholesale and retail trade
Transportation
Accommodation and food service activities
Financial and insurance activities
Professional, scientific, and technical activities
Education
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3. Dimensions / Components of Quality
in Health Services
QUALITY HEALTH SERVICE HAS SEVERAL PARTS. FOR
IMPROVEMENT IN QUALITY OF CARE, WE NEED TO UNDERSTAND
THEM, IN FOLLOWING USUAL ORDER.
Availability & Appropriateness
Access &Affordability
Equity & Equality
Technical Competence & Skills
Timeliness & Continuity
Safety & Reliability
Respect & Caring
Efficiency
Effectiveness & Efficacy
Amenities
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4. Availability &Appropriateness
The availability of a needed test, procedure, treatment or service to the patient
in his needs.
The degree to which the care / intervention provided is relevant and
appropriate to the
patients clinical needs, given according to the current state of knowledge.
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5. Access & Affordability
Everyone should have access to quality health care. Access refers to the ability
of the individuals, to obtain health services.
Some of the factors that can affect access are:
a) Distance: e.g. If the access to quality health care may
becomes a problem due to far distance.
b) Financial: e.g. where people cannot afford the services.
c) Culture, beliefs and values
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6. Equity & Equality
Quality services should be provided to all people who need them in a similar &
equal way.
Quality services should be available in all parts of the country, in villages,
towns and cities without difference regarding gender, age, religion,
nationality, sects, political issues, affordability, physical appearance or any
other group, etc.
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7. Technical competence & Skills
Technical competence as an indicator of quality assurance implies that we
should have adequate knowledge and skills to carry out our functions in order
to provide quality services.
With respect to what we cannot do, we are expected to refer them to other
centres or personnel who are more competent to handle it.
Our practice should also be followed by- Standard Treatment Guideline.
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8. Timeless& Continuity
The degree to which the needed test, procedure, treatment, service, or
healthcare intervention is provided to the patient, at the most beneficial or
necessary time, and is coordinated among service providers and
organizations.
Continuity means that the client gets the full range of needed health services,
and that when the case is beyond us, we refer them to the right level.
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9. Safety &Reliability
The safety of the patient and staff. The degree to which the risk of an
intervention and the risks in the care environment are reduced for the
patient and others, including the healthcare provider.
Safety means that when providing health services, we reduce to the barest
minimum
injuries, infections, harmful adverse effects and other dangers to
clients and to staff.
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10. RespectandCaring
The degree to which the patient or a designee is involved in his/her own care
decisions and to which those providing services do so with sensitivity and
respect for the patients expectations and differences.
It refers to the relationship among all stakeholders. We should show respect to
our clients; feel for our patients; not be rude with them; not disclose
information we get from them to irrelevant people.
This all will bring about good relations and trust. Clients consider good
interpersonal relationship as an important component of quality of care.
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11. Efficiency
The efficiency with which services are provided. The relationship between the
outcomes (results of care) and the resources used to deliver patient care.
Efficiency is the provision of high quality care at the lowest possible cost. We
are expected to make the best use of resources and avoid waste of our scarce
resources.
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12. EffectivenessandEfficacy
The degree to which the care/intervention is provided in the correct manner,
given the current state of knowledge, in order to achieve the desired/projected
outcomes.
Type of care that produces positive change in the patient's health or his/her
quality of life. The uses of treatments & procedures that are known to be
effective with best possible efficacy in relation to the patients condition.
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13. Amenities
These are indirect features that can be provided by our health facilities to
make life comfortable and pleasant for clients.
They contribute to clients' satisfaction and make clients willing to use our
services.
For example, cleanliness, comfortable seats & beds, television sets, media,
educational materials & videos, indication signs, best possible general
facilities and physical environment etc. in the healthcare entity.
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14. Measuring Quality in Education Sector
Quality in education sector has several parts. For improvement in Quality of
care, we need to understand them, in following usual order.
Academic staff
Library services
Laboratory Facilities
Infrastructure Facilities
Career Prospects
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15. Academic staff
Academic qualification of the academic staff directly affects the teaching. If
depth of qualification is considered, institute from a staff has taken the
education (i.e., their Bachelor, Masters or Doctorates) also has significant
impact in thinking and inclination towards research.
In addition to academic qualification, professional experience also plays vital
role in education. Continue professional experience along with teaching
develops double edged sward.
Mere having knowledge is not sufficient for teaching, but academic staff must
have powerful communication skills. In addition to communication skills,
friendliness (up to somewhat level) with students is also required.
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16. Library Services
Education institutes must have rich library which must have textbooks as well
as reference books.
Also, latest relevant journals, which can bridge education and industry is also
essential in the library.
Further, procedure to borrow books should be easy and library hours should be
maximum.
Concept of E-library is also admirable if possible.
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17. Laboratory Facilities
In order to carry out experimental work, rich laboratories are required along
with rich library
Well qualified laboratory technicians are required to help research scholars.
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18. Infrastructure Facilities
Adequate classroom and laboratories must be available.
Facility of canteen as well as hostel should be available.
For physical health, medical facilities should be available.
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19. Career Prospects
Ultimately, the students should achieve academic excellence.
Academic standard of the students must increase.
Students must develop applied learning from their study.
Students must be skilled such that they can face the competitive world to grab
the job once they complete their education.
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