Issue: 2016, Vol. 21, No. 4
IMPROVEMENT OF HEALTH CARE ORGANIZATION FOR INFANTS IN MUNICIPAL POLYCLINICS
- Keywords
- nfants, observation quality, breast feeding, expert estimation, opinion of mothers
- Abstarct
- Objective - to estimate the quality of treatment-and-prophylactic aid for infants in municipal polyclinics and to evaluate the effectiveness of measures which were directed to its improvement. Material and methods. The survey was carried out in 2013-2015 in three pediatric municipal polyclinics of Makhachkala, Republic of Dagestan. Expert evaluation of 750 clinical records in 1-3 aged patients and questioning in 347 mothers were performed. The system of measures which was directed to the improvement of quality and availability of the treatment-and-prophylactic aid for infants was substantiated; and its efficacy was estimated upon the results of organizational experiment of a year in two municipal pediatric polyclinics in Makhachkala. Results. Primary survey of medical aid quality for children revealed some defects namely insufficiency of prophylactic work especially fetus antenatal protection, incomplete observation of newborns, poor prophylaxis for background diseases in babies within first year of life, shortcomings in the breast feeding management in infants and in sanitary-hygienic education in parents, low efficacy of case follow-up in children. The system of measures for increase of quality and availability of treatment-and-prophylactic aid in infants was suggested as follows: improvement of pediatrician work technology in ambulatory consultation; measures for increase of quality and effectiveness of prophylactic medical examination in children; intensification of family role in prophylactic medical examination of pediatric population; cultivation of the system of quality monitoring and differentiated salary in dependence on volume and quality of prophylactic work. The introduction of the suggested system under experimental conditions positively affected upon quality and regularity of infants observation.
Гаджиев, Агаларова_Вестник ИвГМА 2016 № 4