Ganguly Enakshi, Deshmukh Pr, Garg Bs
Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha - 442 102, Maharashtra, India.
Indian J Community Med. 2008 Jan;33(1):35-7. doi: 10.4103/0970-0218.39241.
To assess the quality of care provided by private practitioners in rural areas of Wardha district.
The study was carried out in three primary health centres of Wardha district. 20% of the 44 registered private practitioners were selected randomly for the study. The data was collected using checklist through direct observation for the infrastructure. Assessment of quality of services delivered, 10 consecutive patients were observed and also the medical practitioner was interviewed. Supplies and logistics were assessed through observation.
All the facilities were sheltered from weather conditions and 90% had adequate waiting space. But, drinking water and adequate IEC material was available in only 20% facilities. Complete history taking and relevant physical examination was done in only 20% cases. Only 20% practitioners recorded blood pressure and 30% recorded temperature in cases with fever. Provisional diagnosis was not written in any of the case and only 20% explained prescription to the patients.
There is considerable scope to improve the quality of services of private practitioners. To achieve this quality assurance programs may be initiated along with the training of private medical practitioners.
评估瓦尔达地区农村私人执业医生提供的医疗服务质量。
该研究在瓦尔达地区的三个初级卫生中心开展。从44名注册私人执业医生中随机抽取20%进行研究。通过直接观察使用检查表收集基础设施数据。对提供的服务质量进行评估，观察连续10名患者，并对医生进行访谈。通过观察评估物资供应和后勤情况。
所有设施都有遮蔽，免受天气影响，90%有足够的候诊空间。但是，只有20%的设施有饮用水和足够的信息、教育与宣传材料。仅20%的病例进行了完整的病史采集和相关体格检查。只有20%的医生记录了血压，发热病例中30%记录了体温。所有病例均未书写初步诊断，只有20%的医生向患者解释了处方。
私人执业医生的服务质量有很大的提升空间。为实现这一目标，可启动质量保证项目并对私人执业医生进行培训。
