Can social accountability mechanisms using community scorecards improve quality of pediatric care in rural Cambodia?
| Autor: | Chea Chhorvann, Anbrasi Edward, Younghee Jung, Jane Chege, Annette E. Ghee |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
Rural Population medicine.medical_specialty Quality management Child Health Services Psychological intervention 03 medical and health sciences Lethargy 0302 clinical medicine Medicine Humans 030212 general & internal medicine Socioeconomic status Quality of Health Care Integrated Management of Childhood Illness Social accounting Growth chart Social Responsibility business.industry Delivery of Health Care Integrated 030503 health policy & services Health Policy Public health Public Health Environmental and Occupational Health Infant General Medicine Child Preschool Emergency medicine 0305 other medical science business Cambodia |
| Zdroj: | International journal for quality in health care : journal of the International Society for Quality in Health Care. 32(6) |
| ISSN: | 1464-3677 |
| Popis: | Objective To determine the effect of social accountability strategies on pediatric quality of care. Design and Setting A non-randomized quasi experimental study was conducted in four districts in Cambodia and all operational public health facilities were included. Participants Five patients under 5 years and their caretakers were randomly selected in each facility. Interventions To determine the effect of maternal and child health interventions integrating citizen voice and action using community scorecards on quality of pediatric care. Outcome Measures Patient observations were conducted to determine quality of screening and counseling, followed by exit interviews with caretakers. Results Results indicated significant differences between intervention and comparison facilities; screening by Integrated Management of Childhood Illness (IMCI) trained providers (100% vs 67%, P Conclusion The institution of social accountability mechanisms to engage communities and facility providers showed some improvements in quality of care for common pediatric conditions, but socioeconomic disparities were evident. |
| Databáze: | OpenAIRE |
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