[Quality-of-care assessment in a university hospital pediatric clinic]

Franco1, Campos

  • 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.

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