Assessment of the quality of hospital care for children in Indonesia
| Autor: | Nurul A, Sidik, Lilliana, Lazuardi, Fransisca H, Agung, Kirana, Pritasari, Hanny, Roespandi, Tini, Setiawan, Udjiani, Pawitro, Waldi, Nurhamzah, Martin W, Weber, H, Roespandi |
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| Rok vydání: | 2013 |
| Předmět: |
Gynecology
medicine.medical_specialty Child care Pediatrics business.industry Research methodology Child Health Services Public Health Environmental and Occupational Health Primary health care Quality Improvement Child health services Hospitals Hospital care Hospitalization Health services Infectious Diseases Indonesia Practice Guidelines as Topic medicine Humans Parasitology Child business Quality of Health Care |
| Zdroj: | Tropical Medicine & International Health. 18:407-415 |
| ISSN: | 1360-2276 |
| Popis: | Objectives To obtain an overview of the quality of care for children in Indonesia, by assessing hospitals with a view to proceed to a quality improvement mechanism for child care. Methods Stratified two-stage random sampling in six regions identified 18 hospitals (provinces Jambi, East Java, Central Kalimantan, South–East Sulawesi, East Nusa Tenggara, North Maluku). Three randomly selected hospitals in each province were visited by trained assessors who scored each assessed service (expressed as a percentage of achievement) and grouped into good (≥ 80%), requiring improvement (60–79%) and urgently requiring improvement (< 60%). Results The overall median result score across all areas was 43% (IQR 28%–53%). Case management for common childhood illnesses had a median score of 37% (IQR18–43%), neonatal care 46% (IQR 26–57%) and patient monitoring 40% (IQR 30–50%), all indicating an urgent need for improvement. Qualitative data showed as main problems inadequate use of standard treatment guidelines, irrational prescribing of antibiotics, poor progress monitoring and poor supportive care. Conclusion We found serious shortcomings in the quality of hospital care for children. Finding and documenting those is the first step in a quality improvement process. Work is needed to start an improvement cycle for hospital care. Objectifs Obtenir un apercu de la qualite des soins pour les enfants en Indonesie, en evaluant les hopitaux en vue de proceder a un mecanisme d'amelioration de la qualite des soins aux enfants. Methodes Un echantillonnage aleatoire stratifie a deux degres dans six regions a identifie 18 hopitaux (provinces de Jambi, est Java, Kalimantan Central, sud-est Sulawesi, est Nusa Tenggara, nord Maluku). Trois hopitaux selectionnes aleatoirement dans chaque province ont ete visites par des evaluateurs qualifies qui ont note chaque service evalue (note exprimee en pourcentage de realisation) et ont ete regroupes en categories telles que: bons (si > 80%), amelioration necessaire (si 60–79%) et amelioration necessaire d'urgence (si |
| Databáze: | OpenAIRE |
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