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澳大利亚儿童医疗保健质量:2012-2013年
Jeffrey Braithwaite1, Peter D Hibbert1,2,3, Adam Jaffe4,5
1Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
JAMA
|March 21, 2018
概括
澳大利亚的常规儿科护理质量使用17种常见疾病的479个指标进行评估. 这表明儿童医疗保健的质量可能不足.
科学领域:
- 儿童医疗保健质量评估
- 临床实践指南的遵守
- 公共卫生监测
背景情况:
- 常规照顾儿童的质量很少被全面评估.
- 现有的评估通常集中在单个环境或条件上.
研究的目的:
- 估计澳大利亚儿童医疗保健的质量.
- 评估在住院和门诊环境中遵守质量指标.
主要方法:
- 多阶段分层样本与医疗记录审查.
- 对17种常见儿科疾病的479个质量指标进行了评估.
- 在15,240次访问中对6,689名儿童进行了评估.
主要成果:
- 对质量指标的总体遵守率为59. 8% (95% CI,57. 5% - 62. 0%).
- 根据病情,桃体炎的坚持率有显著差异,从43. 5%到自闭症的88. 8%.
- 非传染性疾病的平均依守率为60. 5%,精神健康的平均依守率为82. 4%,急性感染的平均依守率为56. 3%,受伤的平均依守率为78. 3%.
结论:
- 澳大利亚常规儿科护理的整体质量并不高.
- 缺乏足够的护理可能会影响许多常见的儿童疾病.
- 结果强调需要改善儿童的质量评估和医疗服务.
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