Dataset: Factors that influence the implementation of quality improvement programs (HEALTHQUAL Program)

Access to poor quality care has adverse effects in terms of morbidity and mortality. Hence the need to find strategies to improve processes and systems in order to satisfy patients and enable access to good quality care. In Haiti, the Ministry of Public Health and Population, donors as well as technical and financial partners emphasize quality improvement programs such as the HEALTHQUAL program. It has become an essential approach in the health system in Haiti. Quality improvement programs are new to the context of Haiti. However, very little data is available on the factors that can facilitate or hinder the implementation of these quality improvement initiatives.

Evaluative research (implementation analysis) with a multiple case study was carried out using a qualitative research design. Thirty-eight semi-structured interviews, observations were made, and documents analyzed. Data analysis was performed using the constant comparative methods and a synthetic analysis framework with predefined categories (program components, facilitating factors, inhibiting factors, mechanisms, consequences and interactions between model elements). Subsequently, these categories were analyzed inductively using the “Atlas ti” software and adding other emerging codes in the pre-defined categories. Memos and a “research journal” were used during data collection and analysis.

Those data shed light on the main facilitators and obstacles to the implementation of quality improvement programs in the context of Haiti.

劣质医疗服务对患病率和死亡率产生负面影响。因此，寻找改进流程和系统的策略，以满足患者需求并确保优质医疗服务的可及性，显得尤为迫切。在海地，公共卫生和人口部、捐助方以及技术和财务合作伙伴均强调质量改进项目，如HEALTHQUAL项目，已成为海地卫生体系中不可或缺的方法。质量改进项目对于海地而言尚属新颖。然而，关于促进或阻碍这些质量改进措施实施的各类因素，所掌握的数据极为有限。一项采用定性研究设计的多案例研究（评估性研究，实施分析）被实施。通过38次半结构化访谈、观察以及文档分析，进行了数据收集。数据分析采用了常量比较法和预定义类别（项目组成部分、促进因素、阻碍因素、机制、后果及模型元素之间的相互作用）的综合分析框架。随后，运用“Atlas ti”软件对这些类别进行归纳分析，并在预定义类别中添加其他新兴代码。在数据收集和分析过程中，备忘录和“研究日志”被使用。这些数据揭示了在海地实施质量改进项目的主要促进因素和障碍。