乌干达农村地区的初级保健绩效:一个横截面描述性研究
Innocent Kabahena Besigye1,2, Robert James Mash3
1Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa ibesigye@gmail.com.
乌干达农村地区的初级医疗保健 (PHC) 绩效低于最佳,持续护理和服务全面性存在重大差距. 患者和提供者的看法不同,突出了使用UG-PCAT工具改进的领域.
科学领域:
- 全球卫生健康 全球卫生健康
- 医疗服务研究 医疗服务研究
- 主要医疗保健评估评估初级医疗保健
背景情况:
- 加强初级卫生保健 (PHC) 需要强有力的绩效测量.
- 全球建议倡导患者参与服务改进.
研究的目的:
- 测量乌干达农村地区的初级医疗保健绩效.
- 评估患者和提供者对PHC服务的看法.
主要方法:
- 在乌干达的托罗罗区进行了一项横截面调查.
- 乌干达初级保健评估工具 (UG-PCAT) 在四个级别的51个设施中进行了管理.
- 收集和分析了488名用户和所有初级保健提供者/管理者的数据.
主要成果:
- 整体的PHC性能被58.9%的用户评为可接受的,但持续的护理和全面性被评为不佳.
- 用户与设施的联系很低 (35.1%).
- 提供商比用户更积极地评价服务,并且性能随着设施水平的提高而有所改善.
结论:
- 研究区的初级医疗保健绩效低于最佳水平.
- UG-PCAT有效地确定了需要改善PHC功能的领域.
- 该UG-PCAT是一个潜在的有价值的工具,用于区域卫生保健中心的绩效测量.
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