[Quality assessment in primary health care]
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Published on: February 16, 2011
1Institut za socijalnu medicinu i organizaciju zdravstva, Medicinski fakultet Sarajevo.
Abstract:
In this research paper we gave a model with a scale for assessment of health services quality in the primary health care. The model of assessment of quality is based on elements of quality--structure, process and outcome of health care. For every quality element defined indicators and variables with numeric values are shown. The proposed model was tested on the sample of hundred check ups of children aged from 0 to 1 year. The source of data was the health record, and data were collected through questionnaire for assessment of medicine team procedures. The outcome is measured through questionnaire about parents' satisfaction with services delivered. The results of research showed that the health record is only partly suitable to obtain data about contents of doctors work. Total quality of health care is estimated as lower values. The reason lies in the lower level of the content and quantity of check ups, and insufficient education of health professionals. The suggested model and evaluation scale are suitable for implementation in our health care system. The assessment of quality of work is compulsory in further evaluation of the system, regarding the obtained results.
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