Hardee K, McDonald O P, McFarlane C, Johnson L
Futures Group International, 1050 17th St NW, Washington, DC 20036, USA.
West Indian Med J. 2001 Dec;50(4):322-7.
This paper uses data from 199 providers and 20 simulated clients collected at 50 public sector and Non Governmental Organization (NGO) health facilities islandwide in 1995 to compare the two groups' views on quality of care of family planning services. Each of the five components of quality of care studied can be improved in Jamaica. Nearly two-thirds of the simulated clients felt able to freely choose a contraceptive method; however, more adequate and appropriate information needs to be imparted to clients through improved counselling, including promotion of dual method use (against STD/HIV/AIDS and conception). The requirement that a woman must be menstruating to receive services has inadvertently resulted in many clients going away empty-handed (without counselling or condoms) when they visit family planning clinics. While providers generally treat clients well, training and service delivery practices need to be revised to improve the technical competence of providers. All of the providers would recommend these clinics to others, compared to a little over half of the simulated clients. Both the providers and simulated clients said that privacy should be strengthened, particularly in small facilities in rural areas. Many of these aspects of quality of care are being improved in Jamaica's public sector health facilities. Managers can learn more about quality of care by seeking the knowledge, opinions and experiences of both providers and clients.
本文使用了1995年在全岛50家公共部门和非政府组织（NGO）卫生机构收集的来自199名提供者和20名模拟客户的数据，以比较两组对计划生育服务质量的看法。在牙买加，所研究的护理质量的五个组成部分中的每一个都可以得到改善。近三分之二的模拟客户认为能够自由选择避孕方法；然而，需要通过改进咨询，包括推广双重方法使用（预防性病/艾滋病毒/艾滋病和避孕），向客户提供更充分和适当的信息。要求女性必须在月经期间才能接受服务，这无意中导致许多客户在前往计划生育诊所时空手而归（没有接受咨询或拿到避孕套）。虽然提供者通常对客户态度良好，但需要修订培训和服务提供方式，以提高提供者的技术能力。与略多于一半的模拟客户相比，所有提供者都会向其他人推荐这些诊所。提供者和模拟客户都表示，应该加强隐私保护，特别是在农村地区的小型机构。牙买加公共部门卫生机构正在改善护理质量的许多方面。管理者可以通过寻求提供者和客户的知识、意见和经验，更多地了解护理质量。
