PMID- 31050170
OWN - NLM
STAT- MEDLINE
DCOM- 20200715
LR  - 20200715
IS  - 1742-6723 (Electronic)
IS  - 1742-6723 (Linking)
VI  - 31
IP  - 6
DP  - 2019 Dec
TI  - Knowledge, attitude and practices of clinical quality and performance assessment 
      among emergency medical services personnel in South Africa: A mixed methods 
      study.
PG  - 1024-1036
LID - 10.1111/1742-6723.13302 [doi]
AB  - OBJECTIVE: Deficits in healthcare quality are becoming an increasing concern 
      globally. Within the low- to middle-income country (LMIC) setting insufficient 
      quality has become a bigger barrier to reducing mortality than insufficient 
      access, where 60% of deaths from conditions amenable to healthcare, are due to 
      poor quality care. Measuring quality is key towards improving the effectiveness 
      of healthcare in this setting. METHODS: A mixed methods sequential-explanatory 
      study was conducted, to describe what Emergency Medical Service (EMS) 
      practitioners understood about quality systems within the LMICs, using South 
      Africa as an example. Part 1 consisted of a cross-sectional survey (n = 169), the 
      results of which were utilised to develop a semi-structured interview guide for 
      Part 2. Interviews of participants from Part 1 explored the results of the survey 
      (n = 20) and were analysed through content analysis to develop core categories 
      central to the understanding of quality assessment in the LMICs. RESULTS: Despite 
      relatively poor knowledge of organisational-specific quality systems, 
      understanding of the core components and importance of quality systems was 
      demonstrated. The role of these systems in the LMICs was supported by 
      participants, where the importance of context, system transparency, reliability 
      and validity were essential towards achieving ongoing success and utilisation. 
      The role of leadership and communication towards the effective facilitation of 
      such a system was equally identified. CONCLUSION: Within EMS, quality systems are 
      in their infancy. It could be argued that this is somewhat more pronounced in the 
      LMICs, where knowledge of organisational quality systems was found to be poor. 
      Despite this, there was a strong general understanding of the importance of 
      quality systems, and the role they have to play in this setting.
CI  - (c) 2019 Australasian College for Emergency Medicine.
FAU - Howard, Ian
AU  - Howard I
AUID- ORCID: 0000-0001-7543-7707
AD  - Department of Clinical Science and Education, Sodersjukhuset, Karolinska 
      Institutet, Stockholm, Sweden.
AD  - Division of Emergency Medicine, Stellenbosch University, Stellenbosch, South 
      Africa.
FAU - Cameron, Peter
AU  - Cameron P
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
FAU - Castren, Maaret
AU  - Castren M
AD  - Department of Emergency Medicine and Services, Helsinki University Hospital, 
      Helsinki University, Helsinki, Finland.
FAU - Wallis, Lee
AU  - Wallis L
AD  - Division of Emergency Medicine, Stellenbosch University, Stellenbosch, South 
      Africa.
FAU - Lindstrom, Veronica
AU  - Lindstrom V
AD  - Karolinska Institutet, Department of Neurobiology, Care Sciences, and Society 
      Division of Nursing Sweden, Academic EMS, Stockholm, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20190502
PL  - Australia
TA  - Emerg Med Australas
JT  - Emergency medicine Australasia : EMA
JID - 101199824
SB  - IM
MH  - Cross-Sectional Studies
MH  - Emergency Medical Services/*standards
MH  - *Emergency Medical Technicians
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Organizational Culture
MH  - *Process Assessment, Health Care
MH  - *Quality of Health Care
MH  - South Africa
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - KAP survey
OT  - emergency medical services
OT  - healthcare quality
OT  - mixed methods
OT  - patient safety
OT  - sequential explanatory
EDAT- 2019/05/03 06:00
MHDA- 2020/07/16 06:00
CRDT- 2019/05/04 06:00
PHST- 2019/01/08 00:00 [received]
PHST- 2019/02/24 00:00 [revised]
PHST- 2019/03/29 00:00 [accepted]
PHST- 2019/05/03 06:00 [pubmed]
PHST- 2020/07/16 06:00 [medline]
PHST- 2019/05/04 06:00 [entrez]
AID - 10.1111/1742-6723.13302 [doi]
PST - ppublish
SO  - Emerg Med Australas. 2019 Dec;31(6):1024-1036. doi: 10.1111/1742-6723.13302. Epub 
      2019 May 2.