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The results showed that 60% of deaths due to diseases treatable by the public health system were due to poor quality care.
New Delhi: By raising serious concerns about the poor quality of public health care, a new study has shown that three out of five lives can be saved each year if quality care is provided.
Research published in The lancet analyzed data from more than 18 countries and showed that a poor quality of health care is responsible for a greater number of deaths than insufficient access to care.
The results showed that 60% of deaths due to diseases treatable by the public health system were due to poor quality care. It includes 84% of cardiovascular deaths, 81% of vaccine-preventable diseases, 61% of neonatal diseases and half of maternal deaths, road accidents, tuberculosis, HIV and other infectious diseases.
"Providing health services without guaranteeing a minimum level of quality is ineffective, unnecessary and unethical," said Dr. Muhammad Pate, co-chair of the Lancet Global Health Commission, the first to quantify the burden health systems
The researchers pointed out that the poor quality of health care was a key killer in India with 1.6 million deaths in 2016, compared with 838,000 deaths due to non-use of the health system.
In comparison, 660,000 deaths occurred in China due to poor quality of care.
"The human right to health does not make sense without quality care. Countries will know that they are on the road to quality when health workers and policymakers choose to receive health care in their public institutions, "said Dr. Margaret E. Kruk, of Harvard TH Chan School of Health 30 academics, policy makers and health system experts.
A high mortality rate has been observed among people with cardiovascular disease, neonatal diseases and tuberculosis who have received poor health care.
One-third reported poor experiences – disrespect, long waiting periods and short consultations in public health centers. In India, more than half of households have avoided their neighboring public health facility because of quality problems, according to The lancet report.
While mothers and children receive less than half of the recommended clinical actions during a hospital visit, less than half of the suspected TB cases are properly cared for and less likely to be treated. a person with major depressive disorder receives adequate minimal treatment.
"The diagnoses are often incorrect for serious conditions such as pneumonia, myocardial infarction and asphyxia of the newborn," according to the study, adding that vulnerable segments of society are the most affected.
According to the results, the richest women who attend antenatal care are four times more likely to report blood pressure measurements and urine and blood tests than the poorest women.
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