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[Quality control in the process of health care of infants]
M J Cabañas Bravo1, C Izaguirre Zugazaga, A Fuertes Domínguez
1Pediatra del Centro de Salud, Daroca, Zaragoza.
Insights
This study reviewed 302 infant health records, finding an 81% data completion rate, which needs improvement. While patient adherence was satisfactory, healthcare quality requires enhancement for better infant care outcomes.
Area of Science:
- Pediatrics
- Public Health
- Healthcare Quality Improvement
Context:
- Retrospective audit of 302 infant medical histories (0-18 months).
- Data collected between November 1986 and April 1988.
- Focus on a specific health center's infant program.
Purpose:
- Assess healthcare quality in medical record completion and health examinations.
- Evaluate adherence to the Center's Program for Infants.
- Identify areas for improving infant healthcare processes.
Summary:
- Overall data completeness was 81%, deemed improvable.
- Maternal lactancy initiation improved (67.66%), but other objectives like vaccination adherence did not meet standards.
- Patient adherence was satisfactory (3.3% dropout rate, 97.03% attendance).
Impact:
- Identified need for corrective measures to enhance infant healthcare.
- Proposed early contact with mothers and newborns to improve care processes.
- Highlights opportunities for optimizing health program delivery and record-keeping.
Abstract:
We are having an internal, retrospective audic of 302 medical care histories corresponding to all infants between 0 and 18 months registered at the health centre between 1st Nov. 1986 and 30th April 1988, with purpose of determining the degree of quality achieved by the professional staff in the completion of the medical records, systematic examinations of health and objectives proposed in the Centre's Program for Infants, similarly assessing the adeherance of patients to the same. We found a level of those registered globally, of 81 por 100 of all analysed data, which we assessed as improvable. The ratio obtained of securance, cover and maintainance of maternal lactancy, the correct iniciation of beikot and vaccination, although satisfactory, did not reach proposed standards except in the maternal lactancy objective initiated, which improved (67.66% vs 60.0%). The ratios relative to the adeherance to and acceptance of the program by the users are satisfactory: the infants who left it constituted only 3.3%. Atendance of those summored is 97.03% and 24% of failures to attend were due to changes of address. We are however proposing concrete corrective measures to make early contact with the gestative mother and the newborn in order to improve the process of health care.
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