Quality (182) Comments on identifying "chasms" in Quality Planning in my email (June 29)

31 July, 2021

Thank you Neil and also colleagues on the Forum for a consideration of the conceptual points I made in my Comments (June 29) about possibilities for the disconnect in Planning process particularly when we consider the “levels” and the “sectors” as individual themes in our ongoing discussion. [ https://www.hifa.org/dgroups-rss/quality-68-what-does-quality-care-mean-... ]

I look forward to submitting a more informed and cohesive analysis of the inter-sectoral and inter-level gaps in equity - as you suggest - particularly within the lens of minority Stakeholders (citizens and community members of the so-called diverse groups in present day Pluralist societies). I deliberately do not include the adjective, “comprehensive” as an identifier of my intended submission based on the belief that Learning and Sharing, like time itself, does not have a dated shelf life!

The key points in my June 29 Forum Submission related to two themes :

(1) Continuing invisibility of gaps between the local and the global contexts of Quality Concerns and

(2) largely symbolic participation of (lay ?) citizens in most readymade projects of Patient engagement or Patient Partnership.

Thus the invisible “chasms” as potential sources of harm continue to remain invisible except for the normatively excluded, but do present challenges and opportunities for everyone else, ie, how do we collectively, policy makers, planners, professionals, participants (citizen, community member, patients, family caregivers to name a few):

(a) revisit our prevailing equity norms and more importantly critically examine the assumptions that are at their base and

(b) focus on transformative initiatives to eliminate these continuing sources of harms to patient safety everywhere and more broadly to address our collective Quality of Care concerns.

A cursory check of the messages in the HIFA Summary (July 30) indicate promising approaches of “holistic oversight“ (Rana, India, July 30) and benefits of the P3 projects (Mushininga, Zimbabwe, July 30), both adding support to original points made by Lani (July 29) in the Forum. I am especially hopeful to find mention of “Ethical Considerations” engaging references to renowned IDS and NIHR resources on CEI or Community engagement / Involvement in Global Health research (Tom Barker, IDS, UK, July 30) !

We certainly are leading from the Future in our Global Learning-HIFA quest !

Esha Ray Chaudhuri

Calgary, Alberta, Canada

HIFA profile: Esha Ray Chaudhuri is an Equity Analyst, in Canada. Professional interests: Equity Issues in Health and Health Care with particular focus on interface of Local and Global contexts. She is a member of the WHO-HIFA Catalyst Group on Learning for quality health services. https://www.hifa.org/projects/learning-quality-health-services Email address: ed.consult3 AT gmail.com