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    Quality of Health Care in the Lao People's Democratic Republic

    Peabody, John; Tran, Mary; Paculdo, David; Sato, Azusa; Ramesh, Kirthi | July 2019
    Abstract
    The Lao People’s Democratic Republic (Lao PDR) has ambitious and laudable goals for universal health coverage, with a view to increasing health outcomes especially for the most vulnerable in society. It has set up the National Health Insurance Bureau, which covers nearly the entire population, through which out-of-pocket payments have been reduced and access to health care facilities has increased, including utilization. However, the attention given to the quality of care is still less than optimal. Further, while the Lao PDR has existing guidelines and policies for quality, its measurement capacity is still nascent. In particular, work on clinical quality of care is just beginning. This paper outlines the different dimensions of quality (structural, process, outcome), and reports results from data collected from six facilities in Luang Prabang on clinical quality, using vignettes. Findings show that the Lao PDR tends to focus on structural elements of care, such as staffing levels and infrastructure, rather than process measures, which are linked experimentally to better outcomes. Vignettes is a feasible tool to measure quality of care in the Lao PDR, but its methodology needs to be better understood by policy makers. The paper links with current proposed Asian Development Bank projects in the Lao PDR on quality of health care and complementary technical assistance projects.
    Citation
    Peabody, John; Tran, Mary; Paculdo, David; Sato, Azusa; Ramesh, Kirthi. 2019. Quality of Health Care in the Lao People's Democratic Republic. © Asian Development Bank Institute. http://hdl.handle.net/11540/10839.
    Keywords
    Results-Based Monitoring And Evaluation
    Project Evaluation & Review Technique
    Project Evaluation
    Program Evaluation
    Performance Evaluation
    Operations Evaluation
    Evaluation Methods
    Evaluation
    Basic Health
    Family Welfare
    Family Planning
    Nutrition Programs
    Child Nutrition
    Health Costs
    Aged Health
    Medical Services
    Medical Insurance
    Health Costs
    Medical Care
    Dentistry
    Child Health Services
    Project impact
    Development projects
    Program management
    Performance appraisal
    Project appraisal
    Technology assessment
    Nutrition and Health Care
    Maternal and Child Health
    Partnerships in Health Reform
    Health Surveys
    Health Statistics
    Health Standards
    Health Policy Research
    Health Policy
    Child Health Services
    Cumulative effects assessment
    Grievance procedures
    Participatory monitoring and evaluation
    Public health records
    Health status indicators
    State and nutrition
    Food policy
    Nutrition policy
    Child study
    School hygiene
    Nursing homes
    Long-term care facilities
    Hospices
    Cost of medical care
    Medical and health care industry
    Delivery of medical care
    Child psychology
    Aging
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    Citable URI
    http://hdl.handle.net/11540/10839
    Metadata
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    adbi-wp981.pdf (311.9Kb)
    Author
    Peabody, John
    Tran, Mary
    Paculdo, David
    Sato, Azusa
    Ramesh, Kirthi
    Theme
    Evaluation
    Health
     
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise