Weiqin Wang, Lu Han, Qingjiao Lu, Xingjun Lv, Yu Liu, Dongxuan Wang
Research on the impact of the socio-educational environment on the academic performance of college students: the mediating role of study motivation
Frontiers in psychology
conduct global situational analysis identify current facilitators barriers improving quality care qoc pregnant women newborns childrenmetareview published unpublished systematic reviews metaanalyses conducted january 2000 march 2013 language assessment multiple systematic reviews amstar used assess methodological quality systematic reviewshealth systems countries study outcome qoc measured using surrogate indicatorseffective efficient accessible acceptablepatient centred equitable safeconducted two phases 1 qualitative synthesis extracted data identify group facilitators barriers improving qoc three population groups six domains whos framework explore new domains 2 analysis grid map common facilitators barrierswe included 98 systematic reviews 110 interventions improve qoc countries globally facilitators barriers identified fitted six domains whos frameworkinformation patientpopulation engagement leadership regulations standards organisational capacity models care two new domains communication satisfaction generated facilitators included active regular interpersonal communication users providers respect confidentiality comfort support care provision engaging users decisionmaking continuity care effective audit feedback mechanisms key barriers identified language barriers information communication power difference users providers health systems accounting user satisfaction variable standards implementation standard guidelines shortage resources health facilities lack studies assessing role leadership improving qoc common across three population groupsthe barriers goodquality healthcare common pregnant women newborns children thus interventions targeted address uniform beneficial effects adopting identified facilitators would help countries strengthen health systems ensure highquality care