Al-Qutob Raeda, Nasir Laeth S
Faculty of Medicine, Department of Family and Community Medicine, University of Jordan, Amman, Jordan.
Health Care Women Int. 2008 May;29(5):539-50. doi: 10.1080/07399330801949657.
Enhancing the quality of reproductive health care delivery in developing countries is a key prerequisite to increased utilization and sustainability of these services in the target population. Our objective was to assess the perception of quality of reproductive health (RH) care services provided by Jordanian Ministry of Health community-based centers from the perspective of service providers in these settings. A purposeful nationwide sample of 50 primary health care providers took part in five focus group discussions with the purpose of exploring their perceptions of the quality of care provided by their centers and perceived barriers to the provision of quality RH care. Health care providers felt that the quality of RH care provided by their centers was suboptimal. Focus group participants reported numerous barriers to the provision of high quality-care in the clinical setting. These included issues related to patient overload, patient and physician characteristics, as well as problems inherent to supervisory and administrative functions. Exploring and aligning goals and expectations of RH care providers and administrators may result in improvements in the quality of RH care service delivery and morale in public health settings in Jordan, which is a requirement for public sector reform.
提高发展中国家生殖健康保健服务的质量是增加目标人群对这些服务的利用率和可持续性的关键前提。我们的目标是从这些机构的服务提供者的角度评估约旦卫生部社区中心提供的生殖健康（RH）保健服务的质量认知。一个经过有目的选取的、来自全国的50名初级卫生保健提供者样本参与了五次焦点小组讨论，目的是探讨他们对其所在中心提供的保健质量的认知以及提供高质量生殖健康保健的感知障碍。卫生保健提供者认为他们所在中心提供的生殖健康保健质量欠佳。焦点小组参与者报告了在临床环境中提供高质量保健存在的诸多障碍。这些障碍包括与患者负担过重、患者和医生特征相关的问题，以及监督和行政职能固有的问题。探索并协调生殖健康保健提供者和管理人员的目标与期望，可能会提高约旦公共卫生机构生殖健康保健服务的质量并提升士气，这是公共部门改革的一项要求。
