[Pediatric Health Quality Assessment in Different Regions of Russian Federation].

Q3 Medicine

Vestnik Rossiiskoi Akademii Meditsinskikh Nauk Pub Date : 2016-01-01 DOI:10.15690/vramn688

E N Baybarina, A A Baranov, L S Namazova-Baranova, S G Piskunova, E A Besedina, A N Sadovshikova, O R Yuldashev, S A Mukhortova, I A Artemova, V V Chernikov, A V Kharkin, E G Chistyakova, E L Vologdina, T N Kaputskaya, R F Kiripova

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引用次数: 3

Abstract

Background: The quality of pediatric healthcare is a cornerstone for good maternal and infant health.

Aims: To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation.

Methods: Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used.

Results: In all regions, similar traits of inpatient pediatric healthcare determining a poor quality were observed. These included low preparedness for emergent care at admission departments; a high rate of unjustified hospitalization due to lack of clear indications for inpatient care; a widespread polypharmacy and unnecessary painful procedures and treatment; inadequate unjustified antimicrobial and parenteral therapy.

Conclusions: The revealed identity of problems in different regions of the country allows to consider a common strategy to overcome them, which, obviously, should primarily involve education of medical personnel, restructuring of hospital beds to increase day care beds, increasing the clinical expert work in hospitals.

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[俄罗斯联邦不同地区儿童健康质量评估]。

背景:高质量的儿科保健是母婴健康的基石。目的:评价俄罗斯联邦二级和三级区域儿科医院的保健质量。方法:对21所三级儿科医院(n=5;继发性，n=16)。世卫组织的建议被采纳。结果:在所有地区，相似的特点，住院儿科医疗保健决定了低质量观察。其中包括住院部门对紧急护理的准备不足;由于缺乏明确的住院治疗指征，不合理的住院率很高;广泛使用多种药物和不必要的痛苦程序和治疗;不合理的抗菌药物和肠外治疗不充分。结论:我国不同地区问题的共性使我们能够考虑一种共同的战略来克服这些问题，显然，这主要应涉及对医务人员的教育，调整医院床位以增加日托床位，增加医院的临床专家工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vestnik Rossiiskoi Akademii Meditsinskikh Nauk Medicine-Medicine (all)

CiteScore

1.50

自引率

0.00%

发文量