Perceived quality of care of primary health care services in Burkina Faso
Perceived quality of care of primary health care services in Burkina Faso
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DOI：
10.1093/heapol/17.1.42
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发表时间：
2002-03-01
影响因子：
3.2
通讯作者：
Sauerborn, RS
中科院分区：
文献类型：
--
作者：
Baltussen, RMPM;Yé, Y;Sauerborn, RS
引言：病人的意见在政策制定中越来越受到重视。了解人口对保健质量的看法是制定措施以提高初级卫生保健服务利用率的关键。目的：记录用户对初级卫生保健服务保健质量的意见。方法：一个20项的量表，包括四个分量表，涉及卫生人员的做法和行为、资源和服务的充足性、卫生保健的提供以及财政和物质上的可及性，管理的1081用户的11个卫生保健中心在努纳卫生区，在农村Burkina Faso.Results：受访者是相对积极的项目有关的卫生人员的做法和行为，并提供医疗保健，但较少的项目有关的资源和服务的充足性和财务和物理访问。特别是，对现场所有疾病的药物供应、设施中房间和设备的充足性、护理费用和获得信贷的机会评价很低。总的来说，城市医院被评为比一般农村保健中心差。方差分析表明，总体而言，卫生系统的特点解释了29%的所有变化的respons.Conclusion：改善药物的供应和财政可及性的卫生服务已被确定为两个主要的优先事项卫生政策行动。政策制定者应尊重这些患者的偏好，以有效改善护理质量，作为提高卫生保健利用率的潜在手段。
Introduction: Patients' views are being given more and more importance in policy-making. Understanding populations' perceptions of quality of care is critical to developing measures to increase the utilization of primary health care services.Objective: Documentation of user's opinion on the quality of care of primary health care services.Methods: A 20-item scale, including four sub-scales related to health personnel practices and conduct, adequacy of resources and services, health care delivery, and financial and physical accessibility, was administered to 1081 users of 11 health care centres in the health district of Nouna, in rural Burkina Faso.Results: The respondents were relatively positive on items related to health personnel practices and conduct and to health care delivery, but less so on items related to adequacy of resources and services and to financial and physical accessibility. In particular, the availability of drugs for all diseases on the spot, the adequacy of rooms and equipment in the facilities, the costs of care and the access to credit were valued poorly. Overall, the urban hospital was rated poorer than the average rural health care centre. Analysis of variance showed that, overall, health system characteristics explain 29% of all variation of the responses.Conclusion: Improving drug availability and financial accessibility to health services have been identified as the two main priorities for health policy action. Policy-makers should respect these patient preferences to deliver effective improvement of the quality of care as a potential means to increase utilization of health care.