为新一代医疗保险参保人员提供服务的医疗单位的医疗质量。
Quality of health care of the medical units that provide services for Medical Insurance for a New Generation enrollees.
机构信息
Facultad de Medicina, Universidad Nacional Autónoma de México, México.
出版信息
Salud Publica Mex. 2012;54 Suppl 1:S42-9. doi: 10.1590/s0036-36342012000700006.
OBJECTIVE
In this evaluation we assess the quality of the general and clinical structure in medical units that deliver health services for the Medical Insurance for a New Generation (SMNG) enrollees.
MATERIALS AND METHODS
The study population included 82 medical units that deliver health services to enrollees of the SMNG in 15 states of Mexico, during 2009. Two indexes: the general structure index and the clinical structure index were created.
RESULTS
It was found an unequal quality of the general and clinical structure in the different levels of care. The results suggest that the first level of care lacks both important general and clinical structural items. They also show on average a regular quality in the second level of care and a good quality in the third level of care medical units.
CONCLUSIONS
Our results support the main conclusion of the work of Bulatao, "Improving services requires moving beyond policy reform to strengthening implementation of services".
目的
在本次评估中，我们评估了为新一代医疗保险（SMNG）参保者提供医疗服务的医疗机构的一般结构和临床结构的质量。
材料与方法
本研究的对象包括 2009 年墨西哥 15 个州的 82 个向 SMNG 参保者提供医疗服务的医疗机构。创建了两个指数：一般结构指数和临床结构指数。
结果
在不同的医疗服务层级中发现一般结构和临床结构的质量存在不平等现象。结果表明，第一层医疗服务缺乏重要的一般和临床结构项目。此外，第二层级的医疗服务平均质量尚可，第三层级的医疗服务质量较好。
结论
我们的结果支持了 Bulatao 研究工作的主要结论，即“改善服务需要超越政策改革，加强服务的实施”。
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