Kołłątaj Barbara, Kołłątaj Witold, Wrzołek Katarzyna, Karwat Irena Dorota, Klatka Maria
Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Poland.
Department of Paediatric Endocrinology and Diabetology, Medical University of Lublin, Poland.
Ann Agric Environ Med. 2017 Mar 31;24(1):75-81. doi: 10.5604/12321966.1227645.
Introduction. The quality of primary medical care for children in Poland is unsatisfactory. In the ranking known as 'the European Health Consumer Index', Poland (taking the patient point of view on healthcare quality) is classified on the 27th position out of the 33 possible. The unsolved problems concern inter alia the quality and availability of night paediatric urgent care.
The aim was assessing the quality as well as the level of satisfaction with the night paediatric urgent care in the Lublin Province of eastern Poland.
The materials for this study consisted of 540 parents of children aged 6-16 years benefiting from night paediatric urgent medical assistance in Lublin Province. The survey was conducted using the Original Survey Questionnaire.
Inhabitants of the Lublin Province (regardless of place of residence) generally assessed the quality and accessibility of night paediatric urgent care facilities as only satisfactory. Inhabitants living in rural areas have worse access to night paediatric urgent care facilities because of having to travel greater distances, and receive less comprehensive medical assistance than inhabitants living in more urbanized areas, and they are more often referred to hospital emergency departments. During the past five years, both the availability and quality of night paediatric urgent care did not change significantly.
Inhabitants of the Lublin Province (regardless of place of residence) generally assessed the quality as well as accessibility of night paediatric urgent care facilities as only satisfactory. Rural residents have more reasons for dissatisfaction than urban dwellers. Both the quality and availability of such medical care needs to be improved.
引言。波兰儿童初级医疗保健的质量不尽人意。在“欧洲健康消费者指数”排名中（从患者对医疗质量的角度来看），波兰在33个可能的排名中位列第27位。尚未解决的问题尤其涉及夜间儿科紧急护理的质量和可及性。
旨在评估波兰东部卢布林省夜间儿科紧急护理的质量以及满意度水平。
本研究的材料来自卢布林省540名6至16岁儿童的家长，这些儿童接受了夜间儿科紧急医疗救助。调查使用原始调查问卷进行。
卢布林省居民（无论居住地点）总体上对夜间儿科紧急护理设施的质量和可及性评价仅为满意。由于需要长途跋涉，农村地区居民获得夜间儿科紧急护理设施的机会较差，并且比居住在城市化程度较高地区的居民获得的医疗救助不够全面，他们更常被转诊至医院急诊科。在过去五年中，夜间儿科紧急护理的可及性和质量均未发生显著变化。
卢布林省居民（无论居住地点）总体上对夜间儿科紧急护理设施的质量和可及性评价仅为满意。农村居民比城市居民有更多不满的理由。此类医疗护理的质量和可及性都需要提高。
