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
{"title":"[俄罗斯联邦不同地区儿童健康质量评估]。","authors":"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","doi":"10.15690/vramn688","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The quality of pediatric healthcare is a cornerstone for good maternal and infant health.</p><p><strong>Aims: </strong>To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation.</p><p><strong>Methods: </strong>Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":39355,"journal":{"name":"Vestnik Rossiiskoi Akademii Meditsinskikh Nauk","volume":"71 3","pages":"214-23"},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"[Pediatric Health Quality Assessment in Different Regions of Russian Federation].\",\"authors\":\"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\",\"doi\":\"10.15690/vramn688\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The quality of pediatric healthcare is a cornerstone for good maternal and infant health.</p><p><strong>Aims: </strong>To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation.</p><p><strong>Methods: </strong>Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":39355,\"journal\":{\"name\":\"Vestnik Rossiiskoi Akademii Meditsinskikh Nauk\",\"volume\":\"71 3\",\"pages\":\"214-23\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Vestnik Rossiiskoi Akademii Meditsinskikh Nauk\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15690/vramn688\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vestnik Rossiiskoi Akademii Meditsinskikh Nauk","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15690/vramn688","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Pediatric Health Quality Assessment in Different Regions of Russian Federation].
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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