Towards quality of care in child health programmes: a challenge for the partnership in health and social sciences.
Towards quality of care in child health programmes: a challenge for the partnership in health and social sciences.
复制标题
提高儿童健康计划的护理质量：健康和社会科学伙伴关系面临的挑战。
DOI：
10.1016/s0277-9536(98)00135-x
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发表时间：
1998
影响因子：
5.4
通讯作者：
S. Kanani
中科院分区：
文献类型：
--
作者：
S. Kanani
一些儿童保健方案虽然往往构思良好，但在实地一级执行不力，主要集中在数量成就上，而忽视了护理质量。本文从组织的管理系统和服务提供点的提供者-客户界面的角度提出了儿童健康计划的护理质量(QOC)框架。该文件随后描述了从社会科学和卫生科学中提取的定性和定量研究工具在规划和评估护理质量方面的应用。建议综合和补充使用这些工具。有人建议，在儿童保健方案中，为保持质量，应明确规定各区域的最低标准。随着质量的提高，这些标准可能会升级。最后，讨论了健康和社会科学伙伴关系可能必须应对的挑战。这些措施包括倡导在儿童健康方案中优先考虑质量控制，促进支持护理质量的环境，促进跨学科行动研究，在大学和研究机构培训学生进行社会科学研究，记录成功的故事。
Several child health care programmes, though often well conceived, are poorly implemented at field level and focus primarily on quantitative achievements to the neglect of quality of care. This paper presents a quality of care (QOC) framework for child health programmes from the perspectives of the management system of an organization and the provider–client interface at point of service delivery. The paper subsequently describes the application of qualitative and quantitative research tools drawn from the social sciences and health sciences for planning and evaluating quality of care. An integrated and complementary use of these tools is recommended. It is suggested that minimum standards, which are region specific, be articulated for quality maintenance in child health programmes. These standards may be upgraded as quality improves. Finally, the challenges which a partnership of the health and social sciences may have to take up are discussed. These include advocacy for prioritization of QOC in child health programmes, facilitating an environment which supports quality of care, promoting inter-disciplinary action research, training students in social science research in universities and research organizations, documenting success stories.