Stud Fam Plann. 2018 Mar;49(1):23-39. doi: 10.1111/sifp.12044. Epub 2018 Jan 5.
With growing attention to monitoring and improving quality of care, it is critical to have evidence-based recommendations to measure quality of care indicators and guidelines to interpret estimates from different data sources. This study facilitates methodological discussion regarding measurement of counseling for side effects in family planning, a critical component of quality. The study assesses and compares estimates of side effects counseling based on three data sources. Data came from nationally representative facility and household surveys, Service Provision Assessments, and Demographic and Health Surveys in four countries. The level of side effects counseling was unacceptably low and varied systematically by data source. Compared to observation data in the facility survey, exit interview data from the survey overestimated the level substantially, and its reporting had poor predictive value. Estimates from household surveys were comparable with the observation-based estimates applying the minimum definition of counseling. In monitoring quality of care, data sources should be carefully reviewed, and estimates may need to be adjusted if the sources are inconsistent.
随着人们越来越关注监测和改善医疗保健质量，拥有基于证据的建议来衡量医疗保健质量指标和指南来解释来自不同数据源的估计值至关重要。本研究促进了关于测量计划生育中副作用咨询的方法学讨论，这是质量的关键组成部分。该研究评估并比较了基于三个数据源的副作用咨询估计值。数据来自四个国家的全国代表性机构和家庭调查、服务提供评估以及人口与健康调查。副作用咨询的水平低得令人无法接受，并且因数据源而异。与机构调查中的观察数据相比，调查中的出口访谈数据大大高估了这一水平，其报告的预测值较差。来自家庭调查的估计值与基于观察的估计值相当，适用于最低限度的咨询定义。在监测医疗保健质量时，应仔细审查数据源，如果来源不一致，则可能需要调整估计值。
