Health inspectorate as a tool for quality improvement in public health institutions of primary health care in Kosovo

doctoral thesis

• Title (croatian): Zdravstveni inspektorat kao alat za poboljšanje kvalitete zdravstvene zaštite u javnim ustanovama primarne zdravstvene zaštite na Kosovu
• Author: Ardita Baraku
• Mentor: Gordana Pavleković (mentor)
• Mentor: Merita Berisha (komentor); VIAF: 433152636118220050569
• Committee member: Hrvoje Tiljak (predsjednik povjerenstva)
• Committee member: Venija Cerovečki Nekić (član povjerenstva)
• Committee member: Zdenko Sonicki (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization); Zagreb
• Defense date and country: 2025-03-03, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine
• Universal decimal classification (UDC): 614 - Public health and hygiene. Accident prevention

Abstract

Kosovo applies a healthcare organization quality model based on an internal mechanism - Quality Coordinators (QC), and the external mechanism - Health Inspectorate of the Ministry of Health. The hypothesis of this research was that the Health Inspectorate is an efficient regulatory tool for quality improvement in public institutions of primary healthcare (PHC) in Kosovo.
Purposefully selected 14 PHC organisations were subjected to initial, follow-up, and final inspections to monitor adherence to 32 basic standards of healthcare quality (BSHQ). QC from the same institutions were tested for healthcare quality knowledge. The lowest scores of both provided selection for seven QC who were subjected to training, and focus group discussion on motivation to serve, experiences, factors that impact quality and suggestions for improvement.
Results showed that over the years, adherence to 32 BSHQ and QC knowledge improved. QC believed that the Health Inspectorate positively influences healthcare quality. Suggestions for improvement included QC role, Health Inspectorate and healthcare in general.
In conclusion, the research hypothesis was confirmed. The Health Inspectorate can use its formal power to foster a culture of healthcare quality in everyday practices by requesting authorities to provide resources as a prerequisite for quality enhancement.

Abstract (croatian)

Kosovo primjenjuje model kvalitete zdravstvene organizacije koji se temelji na internom mehanizmu - Koordinatorima kvalitete (QC) i vanjskom mehanizmu - Zdravstvenoj inspekciji Ministarstva zdravlja. Hipoteza ovog istraživanja bila je da je zdravstvena inspekcija učinkovit regulatorni alat za poboljšanje kvalitete javnih ustanova primarne zdravstvene zaštite (PZZ) na Kosovu.
Svrhovito odabranih 14 organizacija PZZ-a podvrgnuto je početnim, naknadnim i završnim inspekcijama kako bi se pratilo pridržavanje 32 temeljna standarda zdravstvene kvalitete (BSHQ). QC iz istih ustanova testirani su na poznavanju kvalitete zdravstvene zaštite. Najniže ocjene obje dale su odabir za sedam QC-a koji su bili podvrgnuti obuci i diskusiji u fokusnoj grupi o motivaciji za služenje, iskustvima, čimbenicima koji utječu na kvalitetu i prijedlozima za poboljšanje.
Rezultati su pokazali da se tijekom godina poštivanje 32 BSHQ i QC znanja poboljšalo. QC smatra da zdravstvena inspekcija pozitivno utječe na kvalitetu zdravstvene zaštite. Prijedlozi za poboljšanje uključivali su ulogu QC-a, zdravstvene inspekcije i
zdravstva općenito.
Zaključno, hipoteza istraživanja je potvrđena. Zdravstvena inspekcija može koristiti svoje formalne ovlasti za njegovanje kulture kvalitete zdravstvene skrbi u svakodnevnoj praksi tražeći od vlasti da osiguraju resurse kao preduvjet za poboljšanje kvalitete.

• Keywords: Kosovo; developing country; quality of health care; primary healthcare; health inspectorate
• Keywords (croatian): Kosovo; zemlja u razvoju; kvaliteta zdravstvene zaštite; primarna zdravstvena zaštita; zdravstveni inspektorat
• Language: english
• URN:NBN: urn:nbn:hr:105:161405
• Study programme: Title: Biomedicine and Health Sciences; Study programme type: university; Study level: postgraduate; Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
• Type of resource: Text
• Extent: 98 str.
• File origin: Born digital
• Access conditions: Open access
• Created on: 2025-03-06 08:25:35