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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Quality-of-care assessment in a university hospital pediatric clinic]
1Departamento de Medicina Preventiva e Social, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Cidade Universitária Zeferino Vaz, C. P. 6111, Campinas, SP, 13083-970, Brasil.
Insights
Patients at a Brazilian National Health System pediatric clinic are knowledgeable and satisfied, but face long waits and weak physician-patient communication. Specialized care users reported different experiences than general pediatric out-patient service users.
Area of Science:
- Pediatric Healthcare
- Public Health Systems
- Patient Satisfaction Studies
Background:
- UNICAMP University Hospital's Pediatric Clinic serves as a key secondary and tertiary care facility within Brazil's National Health System.
- The clinic caters to pediatric patients aged 0 to 18 years, offering a range of medical services.
Purpose of the Study:
- To assess medical care indicators within the Pediatric Clinic.
- To compare patient experiences between general pediatric out-patient services and specialized services.
- To identify areas for service improvement.
Main Methods:
- Administration of 221 questionnaires to users of general and specialized pediatric out-patient services.
- Analysis of patient knowledge, satisfaction, physician-patient relationship, reported problems, and suggestions for improvement.
- Comparison of care indicators between different user groups.
Main Results:
- Patients demonstrated high health knowledge and satisfaction with care.
- A significant portion (43.4%) reported service-related problems, with low suggestion rates (17.6%).
- Long waiting times were a notable issue. Significant differences in indicators were observed between users of general and specialized services.
Conclusions:
- While patients are generally satisfied and knowledgeable, improvements are needed in communication and reducing wait times.
- The distinct experiences of specialized care users warrant further investigation.
- Addressing reported problems and encouraging patient feedback are crucial for enhancing pediatric healthcare services.
Abstract:
This study focuses on the Pediatric Clinic of the UNICAMP University Hospital, teaching and care facility belonging to the Brazilian National Health System, providing secondary and tertiary health care for children aged 0 to 18 years. A total of 221 questionnaires were applied with users of the general pediatric out patient services and one of the specialties, allowing for comparison of various medical care indicators. Users were found to be quite knowledgeable about their health conditions and satisfied with the care received, despite a weak link in the physician-patient relationship. 43.4% reported problems related to the services, while only 17.6% made suggestions to improve them. Waiting time was found to be quite long. Users of specialized services differed from general care patients with regard to several indicators.
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