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Improving quality of non-communicable disease services at primary care facilities in middle-income countries: A scoping review

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  • Rao, Krishna D.
  • Mehta, Akriti
  • Kautsar, Hunied
  • Kak, Mohini
  • Karem, Ghassan
  • Misra, Madhavi
  • Joshi, Harsha
  • Herbst, Christopher H.
  • Perry, Henry B.

Abstract

Health systems in middle-income countries face important challenges in managing the high burden of Non-Communicable Diseases (NCD). Primary health care is widely recognized as key to managing NCDs in communities. However, the effectiveness of this approach is limited by poor quality of care (QoC), among others. This scoping review identifies the types of interventions that have been used in middle-income countries to improve the quality of NCD services at primary care facilities. Further, it identifies the range of outcomes these quality interventions have influenced. This scoping review covered both the grey and peer-reviewed literature. The 149 articles reviewed were classified into four domains – governance, service-delivery systems, health workforce, and patients and communities. There was a remarkable unevenness in the geographic distribution of studies – lower middle-income countries and some regions (Middle East, North Africa, and South East Asia) had a scarcity of published studies. NCDs such as stroke and cardiovascular disease, mental health, cancer, and respiratory disorders received less attention. The thrust of quality interventions was directed at the practice of NCD care by clinicians, facilities, or patients. Few studies provided evidence from interventions at the organizations or policy levels. Overall, effectiveness of quality interventions was mixed across domains. In general, positive or mixed effects on provider clinical skills and behavior, as well as, improvements in patient outcomes were found across interventions. Access to care and coverage of screening services were positively influenced by the interventions reviewed. This review shows that quality improvement interventions tried in middle-income countries mostly focused at the provider and facility level, with few focusing on the organizational and policy level. There is a need to further study the effectiveness of organizational and policy level interventions on the practice and outcomes of NCD care.

Suggested Citation

  • Rao, Krishna D. & Mehta, Akriti & Kautsar, Hunied & Kak, Mohini & Karem, Ghassan & Misra, Madhavi & Joshi, Harsha & Herbst, Christopher H. & Perry, Henry B., 2023. "Improving quality of non-communicable disease services at primary care facilities in middle-income countries: A scoping review," Social Science & Medicine, Elsevier, vol. 320(C).
  • Handle: RePEc:eee:socmed:v:320:y:2023:i:c:s0277953623000345
    DOI: 10.1016/j.socscimed.2023.115679
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    References listed on IDEAS

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    1. Shaofan Chen & Bo Burström & Vibeke Sparring & Dongfu Qian & Kristina Burström, 2019. "Differential Impact of an Education-Based Intervention for Patients with Type 2 Diabetes Mellitus in Rural China," IJERPH, MDPI, vol. 16(15), pages 1-12, July.
    2. Gbenga Ogedegbe & Jacob Plange-Rhule & Joyce Gyamfi & William Chaplin & Michael Ntim & Kingsley Apusiga & Juliet Iwelunmor & Kwasi Yeboah Awudzi & Kofi Nana Quakyi & Jazmin Mogaverro & Kiran Khurshid , 2018. "Health insurance coverage with or without a nurse-led task shifting strategy for hypertension control: A pragmatic cluster randomized trial in Ghana," PLOS Medicine, Public Library of Science, vol. 15(5), pages 1-17, May.
    3. Rao, Krishna D. & Sundararaman, T. & Bhatnagar, Aarushi & Gupta, Garima & Kokho, Puni & Jain, Kamlesh, 2013. "Which doctor for primary health care? Quality of care and non-physician clinicians in India," Social Science & Medicine, Elsevier, vol. 84(C), pages 30-34.
    4. Rao, Krishna D. & Sheffel, Ashley, 2018. "Quality of clinical care and bypassing of primary health centers in India," Social Science & Medicine, Elsevier, vol. 207(C), pages 80-88.
    5. Shital S. Muke & Deepak Tugnawat & Udita Joshi & Aditya Anand & Azaz Khan & Ritu Shrivastava & Abhishek Singh & Juliana L. Restivo & Anant Bhan & Vikram Patel & John A. Naslund, 2020. "Digital Training for Non-Specialist Health Workers to Deliver a Brief Psychological Treatment for Depression in Primary Care in India: Findings from a Randomized Pilot Study," IJERPH, MDPI, vol. 17(17), pages 1-22, September.
    6. Jiaoling Huang & Tao Zhang & Luan Wang & Dongfeng Guo & Shanshan Liu & Wei Lu & Hong Liang & Yimin Zhang & Chengjun Liu, 2019. "The effect of family doctor–contracted services on noncommunicable disease self‐management in Shanghai, China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(3), pages 935-946, July.
    7. Shaofan Chen & Dongfu Qian & Bo Burström, 2020. "Shifting the Care of Type 2 Diabetes Mellitus from Hospital to Primary Health Care Institutions through an Educational Intervention for Health Care Professionals: An Example from Rural China," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    8. Rohina Joshi & Mohammed Alim & Andre Pascal Kengne & Stephen Jan & Pallab K Maulik & David Peiris & Anushka A Patel, 2014. "Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries – A Systematic Review," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-6, August.
    9. Mingsheng Chen & Lijie Wang & Wen Chen & Luying Zhang & Hongli Jiang & Wenhui Mao, 2014. "Does Economic Incentive Matter for Rational Use of Medicine? China’s Experience from the Essential Medicines Program," PharmacoEconomics, Springer, vol. 32(3), pages 245-255, March.
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