PATIENT-CARE EVALUATION IN A PRIMARY HEALTH-CARE PROGRAM - THE USE OF TRACER CONDITIONS AS A SIMPLE AND APPROPRIATE-TECHNOLOGY IN HEALTH-CARE-DELIVERY
PATIENT-CARE EVALUATION IN A PRIMARY HEALTH-CARE PROGRAM - THE USE OF TRACER CONDITIONS AS A SIMPLE AND APPROPRIATE-TECHNOLOGY IN HEALTH-CARE-DELIVERY
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DOI：
10.1016/0271-7123(81)90096-1
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发表时间：
1981-01-01
期刊：
影响因子：
--
通讯作者：
DEVRIES, JA
中科院分区：
文献类型：
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作者：
AMONOOLARTSON, R;DEVRIES, JA
以社区为基础的卫生保健项目正越来越多地用于扩大卫生保健覆盖面，特别是在发展中国家。如果这些初级卫生保健（PHC）计划要有效地造福其所针对的社区，就必须设计和使用使用现成流行病学数据的简单而有效的评估程序。在这篇文章中，我们用感染症状（咳嗽、腹泻和发烧）来评估由Brong-Ahafo农村综合发展计划（BARIDEP）服务的农村地区社区诊所服务员（CCA）提供的护理质量。在30个社区诊所中的15个，每个诊所有1名护理人员，对200名患者进行了290次示踪观察，其中95%的患者是因以前没有接受过CCA治疗的新疾病而来咨询的。总的来说，评价程序被认为是可行的，并应提供即时和有用的反馈，可用于通过培训方案和社区诊所的一般管理来改善保健提供者的绩效。
Community-based health care programs are being increasingly used to increase health care coverage, especially in developing countries. If such Primary Health Care (PHC) programs are to effectively benefit communities for which they are designed, simple but effective evaluative procedures using readily available epidemiological data must be designed and used. In this article condtracer conditions (cough, diarrhea and fever) are used to evaluate the quality of care provided by community clinic attendants [CCA] in rural districts served by the Brong-Ahafo Rural Integrated Development Program (BARIDEP). Fifteen out of 30 community clinics of 1 attendant each were surveyed with 290 tracer observations among 200 patients of whom 95% came for consultation with a new condition which had not been treated before by a CCA. In all the evaluation procedure was thought to be feasible and should provide an immediate and useful feedback which might be used to improve health provider performance through training programs and general management of community clinics.