 improvement efforts of quality of care improvement efforts of quality of care 33 admin mon 10142019 1757 description of the qualitative improvements produced by health research in the health care service delivery process applied to the whole population of pwms the indicator allows evaluating the impact that research has on the daytoday health care delivery core qualitative health care service  any furnishing of treatment or health services quality improvement  increase of the level at which care is delivered to patients research reports clinical information system surveys and interviews describe how the process was improved what was done for the patients and how effective and or describe the possible outcomes of the improved health care delivery process impacts on patients health improvement efforts of quality of health care may address the perspectives of efficacy availability and accessibility responsiveness to population health needs utilization or coverage of health services etc after the data collection evaluate the efforts at national regional local level or at hospital clinical units these can be specific interventions or processes aiming to improve quality of care free text outcome n a semiannually monthly annually quality indicators are not a direct measure of quality because quality is multidimensional requiring many different indicators no kuruvilla s mays n pleasant a walt g 2006 describing the impact of health research a research impact framework  bmc health services research   6  1 134 see p11 available at  https linkspringercom article 101186147269636134 health service quality 