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印度尼西亚在获得高质量门诊护理方面的差异。

Differences in access to high-quality outpatient care in Indonesia.

作者信息

Barber Sarah L, Gertler Paul J, Harimurti Pandu

机构信息

Institute of Business and Economic Research, University of California, Berkeley, USA.

出版信息

Health Aff (Millwood). 2007 May-Jun;26(3):w352-66. doi: 10.1377/hlthaff.26.3.w352. Epub 2007 Mar 27.

Abstract

Using a representative cross-section of health care providers in Indonesia, we describe variations in prenatal, child, and adult care quality. Quality is measured as knowledge about clinical guidelines. Public health centers offer above-average-quality prenatal care, and private physicians provide high-quality curative care. Private nurses offer below-average care, as do most providers in the more remote regions of Outer Java-Bali. The poor and wealthy have access to the same levels of quality; however, the poorest women report receiving fewer prenatal procedures. Recommendations include improving the professional development of nurses in private settings, testing quality improvements in Outer Java-Bali, and investigating wealth disparities in quality received.

摘要

我们利用印度尼西亚具有代表性的医疗服务提供者样本,描述了产前、儿童和成人护理质量的差异。质量以对临床指南的了解程度来衡量。公共卫生中心提供高于平均质量的产前护理,私人医生提供高质量的治疗护理。私人护士提供的护理低于平均水平,爪哇岛外-巴厘岛较偏远地区的大多数医疗服务提供者也是如此。穷人和富人能够获得相同质量水平的护理;然而,最贫困的女性报告接受的产前检查较少。建议包括改善私立机构护士的专业发展,在爪哇岛外-巴厘岛测试质量改进情况,并调查所接受护理质量方面的财富差距。

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