Crossing the quality chasm in resource-limited settings

Global Health. 2012 Nov 30;8:41. doi: 10.1186/1744-8603-8-41.


Over the last decade, extensive scientific and policy innovations have begun to reduce the "quality chasm"--the gulf between best practices and actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely to be equally acute and deadly in resource-limited areas. While health systems have begun to be scaled up in impoverished areas, scale-up is just the foundation necessary to deliver effective healthcare to the poor. This perspective piece describes a vision for a global quality improvement movement in resource-limited areas. The following action items are a first step toward achieving this vision: 1) revise global health investment mechanisms to value quality; 2) enhance human resources for improving health systems quality; 3) scale up data capacity; 4) deepen community accountability and engagement initiatives; 5) implement evidence-based quality improvement programs; 6) develop an implementation science research agenda.

MeSH terms

  • Delivery of Health Care / standards*
  • Evidence-Based Practice
  • Global Health*
  • Health Resources*
  • Health Services Accessibility
  • Health Services Research
  • Humans
  • Quality Assurance, Health Care*
  • Social Justice