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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