Assessing efficient cold chain management practices in the health sector and its impact on service delivery in ghana: a study of komfo anokye teaching hospital, kumasi docx



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ColdChain
2.2.5.2 Quality
The quality of service delivery is a very important determinant in healthcare. Quality of service delivery refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (WHO, 2018). WHO (2018) suggests that high-quality healthcare services involve the right care at the right time, responding to the service users needs and preferences while minimizing harm and resource waste. Quality healthcare increases the likelihood of desired health outcomes. Most definitions of quality treatment include multiple dimensions effectiveness, safety, patient-centeredness, and timeliness. The intricate processes of evaluating, diagnosing, and treating a patient and the treatment outcomes make assessing the quality of healthcare services difficult (WHO, 2010). Patients feedback about the practice, consultations and practitioners can help assess healthcare or primary care quality
(Mohamoud and Mash, 2020). The extent to which patients expectations of their consultations are met has a significant impact on their level of satisfaction and the perceived
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quality of service (Mohamoud and Mash, 2020). When healthcare providers deliver high-quality services (i.e., exceeding patients expectations, patients become satisfied.
However, research studies indicate that service delivery or care quality is subpar inmost countries, particularly low- and middle-income countries (WHO, 2018). Patients' lives,
resources, time, revenue, trust and respect, hospital reputation and community apathy could all be lost due to poor healthcare quality. Hence, specific measures need to be considered to enhance the service delivery quality setting standards changing clinical practice at the front line engaging and empowering patients, families and communities legislation and regulation informing and educating healthcare workers, managers and policymakers use of continuous quality improvement programmes and methods;
and establishing performance-based incentives (financial and non-financial) (WHO, 2018). In Ghana, a strategic plan on quality was developed to help guide health professionals and emphasize the health condition and services in Ghana and the quality of health. The project aimed to (improve client-centred services due to poor customer relations in public health institutions) improve patient safety to prevent medical errors and thus ensure healthcare safety, (improve clinical practice through activities that result in a patient’s ailment being correctly diagnosed and successfully treated, and (4) improve management systems through managerial processes employed to improve the quality of healthcare in Ghana.

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