Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.
Maternal and Child Health Unit, Kelantan State Health Department, Kota Bharu 15590, Kelantan, Malaysia.
Int J Environ Res Public Health. 2020 Feb 19;17(4):1341. doi: 10.3390/ijerph17041341.
A mixed-methods study was conducted in a Malaysian state beginning with a cross-sectional quantitative study to determine the relationship between clinic characteristics and clinic score of adolescent-friendliness. Subsequently, perceptions of healthcare providers on the facilitating factors for the provision of adolescent-friendly health services were explored qualitatively to support the quantitative findings. Availability of trained healthcare providers, adequate privacy, dedicated adolescent health services team, and adolescent health promotional activities were the clinic characteristics that significantly ( < 0.05) related with clinics' scores of adolescent-friendliness. The facilitating factors required for adolescent-friendly health services were (1) healthcare providers' commitment and prioritization towards adolescent-friendly health services; (2) organizational supports; (3) appropriate clinic settings; and (4) external supports for adolescent health promotional activities. The qualitative findings reaffirmed those of the quantitative study on the significant clinic characteristics required for adolescent-friendly health services. This study provides valuable insight for the Ministry of Health to elicit the required facilitating factors to further improve the quality of adolescent health services in Malaysia.
本研究采用混合方法，首先在马来西亚的一个州进行了横断面定量研究，以确定诊所特征与青少年友好程度评分之间的关系。随后，对医疗保健提供者对促进提供青少年友好型卫生服务的因素的看法进行了定性研究，以支持定量研究结果。有经过培训的医疗保健提供者、足够的隐私、专门的青少年卫生服务团队和青少年健康促进活动是与诊所的青少年友好程度评分显著相关的诊所特征（<0.05）。促进青少年友好型卫生服务的因素包括：（1）医疗保健提供者对青少年友好型卫生服务的承诺和重视；（2）组织支持；（3）适当的诊所环境；（4）促进青少年健康促进活动的外部支持。定性研究结果证实了定量研究中对促进青少年友好型卫生服务所需的显著诊所特征的研究结果。本研究为卫生部提供了有价值的见解，以确定所需的促进因素，进一步提高马来西亚青少年卫生服务的质量。
