[巴西健康保险计划住院医疗服务提供者的医疗保健结构与质量]
[Healthcare structure and quality among inpatient care providers for health plans in Brazil].
作者信息
Portela Margareth Crisóstomo, Lima Sheyla Maria Lemos, Ugá Maria Alícia Dominguez, Gerschman Silvia, Vasconcellos Maurício Teixeira Leite de
机构信息
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
出版信息
Cad Saude Publica. 2010 Feb;26(2):399-408. doi: 10.1590/s0102-311x2010000200019.
This study aimed to characterize inpatient care providers for health plans in Brazil, considering that knowledge on healthcare providers is still incipient, particularly in relation to healthcare structure and quality. A national survey was performed, focusing on 3,817 hospitals. A stratified sample of 83 hospitals was selected, and data were collected from September to December 2006 using interviews with hospital administrators. Hospital care was characterized using variables related to installed capacity and services output, as well as practices and structures for healthcare quality assurance and control. The final sample consisted of 74 hospitals, representing an estimated universe of 3,799 hospitals. Inpatient care providers for health plans, mainly for the Unified National Health System (SUS), showed limited presence of structures and practices for improving management and healthcare quality.
考虑到关于医疗服务提供者的知识仍处于起步阶段，尤其是在医疗结构和质量方面，本研究旨在描述巴西健康保险计划的住院护理服务提供者的特征。开展了一项全国性调查，重点针对3817家医院。选取了83家医院作为分层样本，并于2006年9月至12月通过与医院管理人员访谈收集数据。利用与装机容量、服务产出相关的变量，以及医疗质量保证和控制的实践与结构来描述医院护理的特征。最终样本包括74家医院，代表了估计总数为3799家医院的总体。健康保险计划的住院护理服务提供者，主要是针对统一的国家卫生系统（SUS），在改善管理和医疗质量的结构和实践方面表现有限。
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