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[Clinical examination of children in municipal pediatric polyclinics]

R S Gadzhiev, A N Gasanov

    Problemy Sotsial'Noi Gigieny, Zdravookhraneniia I Istorii Meditsiny
    |November 9, 2005
    PubMed

    Insights

    Quality of children

    Area of Science:

    • Pediatrics
    • Healthcare Quality Improvement

    Background:

    • Child clinical examinations in Makhachkala's polyclinics require enhancement.
    • Existing quality of pediatric medical examinations is below the required standard.

    Purpose of the Study:

    • To develop technical guidelines for improving the quality of children's clinical examinations.
    • To address identified deficiencies in pediatric healthcare delivery.

    Main Methods:

    • Expert evaluation of 437 outpatient pediatric records from 3 municipal polyclinics.
    • Assessment of medical supervision regularity, timeliness, and completeness of examinations.

    Main Results:

    • Significant irregularities found in medical supervision by pediatricians (23.1%), nurses (38%), and specialists (68.3%).
    • Untimely (19.9%) and incomplete (25%) medical examinations were prevalent.
    • Inadequate implementation of health promotion (17.5%) and rehabilitation (24.8%) activities.

    Conclusions:

    • The quality of children's clinical examinations in municipal polyclinics is suboptimal.
    • A system of actions has been developed to enhance the quality of pediatric medical examinations based on research findings.

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