Buitrago Ramírez F, Molina Martínez L J, Blanco Ovejero A, Guillén Regodón J, Dávila Tena M J, Galán González J A
Centro de Salud La Paz, Unidad docente de medicina Familiar y Communitaria, Badajoz.
An Esp Pediatr. 1991 Sep;35(3):153-6.
Authors present qualitative and quantitative results of a health quality assurance study of pediatric population in primary care. Ten criteria were accepted by consensus and level of 90% of fulfilling was taken as optimal standard. None of the criteria reached that level. The best fulfilled ones were those referring to pregnancy (89%), vaccination (87.7%), lactancy (87%), weight at birth (86.7%), parturition (84%) and newborn period (82%). Among qualitative results most remarkable were vaccination coverage (95.7%), length of breast-feeding (1-3 months, 60.6%) and untimely introduction of cereals with gluten (35.4%) and full-fat cow milk (50.3%). Authors consider that this kind of study is useful in primary care centers. It is necessary to include health care quality assurance activities among basic goals of these centers.
作者展示了一项针对初级保健中儿科人群的健康质量保证研究的定性和定量结果。通过共识确定了十条标准，并将90%的达标水平作为最佳标准。没有一条标准达到该水平。达标率最高的是与妊娠（89%）、疫苗接种（87.7%）、哺乳期（87%）、出生体重（86.7%）、分娩（84%）和新生儿期（82%）相关的标准。在定性结果中，最显著的是疫苗接种覆盖率（95.7%）、母乳喂养时长（1 - 3个月，60.6%）以及过早引入含麸质谷物（35.4%）和全脂牛奶（50.3%）。作者认为这类研究在初级保健中心是有用的。有必要将医疗保健质量保证活动纳入这些中心的基本目标之中。
