利用示踪剂方法评估参加新一代医疗保险的患者的护理质量。
The use of the tracer methodology to assess the quality of care for patients enrolled in Medical Insurance for a New Generation.
机构信息
División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, México.
出版信息
Salud Publica Mex. 2012;54 Suppl 1:S50-6. doi: 10.1590/s0036-36342012000700007.
OBJECTIVE
To assess the quality of care provided at medical units that provide services to Medical Insurance for a New Generation (SMNG) enrollees.
MATERIALS AND METHODS
The tracer methodology was used in a sample of 82 medical units selected in fifteen states of Mexico and data collected in November 2009.
RESULTS
Problems were found to locate the minimal number of the 18 medical charts requested in three of the tracers. The first level of care on the average reports that the quality of the process of care is 6, in a 10 point scale. In the second level improves and the third level of care is better qualified.
CONCLUSIONS
The tracer methodology has enabled us to assess the quality of care. There is room for improvement in the medical units of the state health services, to that end should be directed the efforts in the health system in Mexico.
目的
评估为新一代医疗保险（SMNG）参保者提供服务的医疗单位的服务质量。
材料和方法
在墨西哥十五个州选择了 82 个医疗单位的样本，使用示踪剂方法，并于 2009 年 11 月收集数据。
结果
在三个示踪剂中，发现难以找到所要求的 18 份医疗记录中的最小数量。第一级护理平均报告称，在 10 分制的护理过程质量评分中得分为 6 分。在第二级护理中有所改善，而第三级护理的质量更好。
结论
示踪剂方法使我们能够评估护理质量。州立卫生服务机构的医疗单位仍有改进的空间，因此应将墨西哥卫生系统的工作重点放在这方面。
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