ASSESSMENT OF PROCESS QUALITY IN TANZANIAN PRIMARY-CARE
ASSESSMENT OF PROCESS QUALITY IN TANZANIAN PRIMARY-CARE
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DOI：
10.1016/0168-8510(93)90114-5
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发表时间：
1993-12-01
期刊：
影响因子：
3.3
通讯作者：
TEUSCHER, T
中科院分区：
文献类型：
--
作者：
GILSON, L;KITANGE, H;TEUSCHER, T
过程质量是卫生保健质量的常用操作定义。其关键组成部分是技术和人际交往技能，但在发展中国家进行的大多数评估仅侧重于技术技能。坦桑尼亚的这项研究使用明确的观察清单，审查初级保健单位提供产前、治疗和护理的过程，评估技术和人际关系技能。研究结果强调了现有护理的弱点，特别是在卫生工作人员的态度方面，但也在技术护理方面。保健单位之间的业绩差异似乎受到工作量、结构和工作人员分配等因素的影响。还查明了干部之间的差异，这些差异可能是单位间一些差异的原因。解决这些问题所需的政策行动必须反映潜在影响的多样性，力求提高技术和人际关系质量，因为这两者是相辅相成的。
Process quality is the commonly used operational definition of health care quality. Its key components are technical and inter-personal skills, but most assessments undertaken in developing countries focus only on technical skills. This study from Tanzania used explicit observation checklists to review the process of providing antenatal, curative and nursing care in primary health units, assessing both technical and inter-personal skills. The study findings emphasize the weaknesses in available care, particularly in the attitudes of health staff but also in aspects of technical care. Differences in performance between health units appear to be influenced by factors such as workloads, structure and staff allocations. Differences between cadres were also identified and may underlie some of the inter-unit differences. The policy actions required to address the problems must reflect the diversity of the underlying influences, seeking to raise both technical and inter-personal quality, as the two are mutually reinforcing.