Pittman P, Blatt G, Rodriguez P
Women, Health and Development Program, Pan American Health Organization, Washington, DC, USA.
Health Policy Plan. 2001 Sep;16 Suppl 1:40-6. doi: 10.1093/heapol/16.suppl_1.40.
This paper describes the evaluation of the Health Workers for Change (HWFC) workshop series in a primary health care clinic in Avellaneda, Argentina. The study found that there was an important impact at the facility level 2 months after the intervention (T2). Health workers were motivated and willing to examine their own practices critically in an effort to improve quality of care. Informants from the community also perceived that patients were being treated more kindly. Eleven months later (T3), however, the impact at the facility level had receded significantly. At the system level the main benefit of the workshops was to focus attention on the health workers themselves, particularly their perception that there was little communication with the authorities. As a result, the number of system level supervisors increased and they were urged to spend more time in the clinics. Reasons for the limited impact at T3 are discussed and suggestions are made for improving the intervention.
本文描述了在阿根廷阿韦亚内达的一家初级卫生保健诊所对“变革卫生工作者”（HWFC）系列工作坊的评估。研究发现，干预措施实施2个月后（T2），在机构层面产生了重要影响。卫生工作者受到激励，愿意批判性地审视自己的做法，以努力提高护理质量。社区的受访者也感觉到患者得到了更友善的对待。然而，11个月后（T3），机构层面的影响已显著消退。在系统层面，工作坊的主要好处是将注意力集中在卫生工作者自身，尤其是他们认为与当局沟通很少这一点上。结果，系统层面的督导员数量增加，并且他们被敦促在诊所花费更多时间。文中讨论了T3时影响有限的原因，并提出了改进干预措施的建议。
