Barber Sarah L, Gertler Paul J, Harimurti Pandu
Institute of Business and Economic Research, University of California, Berkeley, USA.
Health Aff (Millwood). 2007 May-Jun;26(3):w352-66. doi: 10.1377/hlthaff.26.3.w352. Epub 2007 Mar 27.
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.
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。