Gutiérrez G, Guiscafré H, Verver H, Valdés J, Rivas E, Loyo E, Clavery M
Grupo Interinstitucional de Investigación en Sistemas de Salud, Secretaría de Salud- Instituto Mexicano del Seguro Social, México, D.F.
Gac Med Mex. 2001 Jan-Feb;137(1):21-9.
To assess the quality of the integral care of children under five years old (AIMCA) at three first level care units, that without additional resources, were selected by the Child Health Care Program (PASN) to function as statewide training centers.
Using matching list, structure, validated by a consensus of experts and a pilot test, six components of the AIMCA were assessed. The study included children under five years old outpatient clinic, during a period of a week: on the average 30 at each unit.
Although there were differences between each health unit, in a high number of cases, the score given to each component of the AIMCA was optimum or satisfactory. The most relevant deficiencies were those related to the mother's training. The assessment allowed for correcting deficiencies in the AIMCA and others related with the organization of Training Centers.
It is possible to have an AIMCA of good quality, at first level units without additional resources. We propose that the mother's training be given mainly by a nurse, especially in children with factors of poor prognosis. The methodology used can be employed to evaluate the AIMCA periodically at training centers.
评估三个一级护理单位五岁以下儿童综合护理（AIMCA）的质量，这些单位没有额外资源，是由儿童保健项目（PASN）挑选出来作为全州培训中心的。
使用经专家共识和预试验验证的匹配清单和结构，对AIMCA的六个组成部分进行评估。该研究纳入了五岁以下儿童门诊，为期一周：每个单位平均30名儿童。
尽管每个卫生单位之间存在差异，但在大量案例中，给予AIMCA各组成部分的评分是最佳或令人满意的。最相关的缺陷与母亲培训有关。该评估有助于纠正AIMCA中的缺陷以及与培训中心组织相关的其他缺陷。
在没有额外资源的一级单位有可能实现高质量的AIMCA。我们建议主要由护士对母亲进行培训，尤其是对有预后不良因素的儿童。所使用的方法可用于定期评估培训中心的AIMCA。
