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按赞助情况划分的孕产妇和婴幼儿护理以及儿童与青少年项目中的生产力及选定护理指标

Productivity and selected indicators of care in maternity and infant care and children and youth projects according to sponsorship.

作者信息

Kotch J B, Coulter M L, Porter C Q, Miller C A

机构信息

Department of Maternal and Child Health, University of North Carolina, Chapel Hill 27599-7400.

出版信息

J Med Syst. 1988 Oct;12(5):285-94. doi: 10.1007/BF00996579.

DOI:10.1007/BF00996579
PMID:3230374
Abstract

Bureau Common Reporting Requirements (BCRR) data tapes for Fiscal Year 1980 were analyzed to determine whether the type of sponsoring agency influenced the productivity or indicators of care of Maternity and Infant Care and Children and Youth Projects. Sponsors were classified as either health department or non-health department, health department or major medical center, or public or private in three separate sets of analyses. Some of these analyses indicated that special projects that were either health department or public agency sponsored were more likely to have more non-medical patient encounters and more health education and social work staff for a given level of expenditures. Although publicly sponsored projects employed fewer physician equivalents than did the non-public projects, those physicians were more productive. Despite these differences in encounters, staffing, and utilization of physicians, there were no differences in available measures of the process of care between categories of projects in any of the analyses.

摘要

对1980财年的预算局通用报告要求(BCRR)数据磁带进行了分析,以确定资助机构的类型是否会影响母婴护理及儿童与青少年项目的生产力或护理指标。在三组独立分析中,资助者被分别归类为卫生部门或非卫生部门、卫生部门或大型医疗中心,或公共或私人机构。其中一些分析表明,由卫生部门或公共机构资助的特殊项目,在给定支出水平下,更有可能有更多非医疗患者接触,以及更多的健康教育和社会工作人员。尽管公共资助项目的医生当量比非公共项目少,但这些医生的工作效率更高。尽管在患者接触、人员配备和医生利用方面存在这些差异,但在任何分析中,不同类别的项目在护理过程的可用衡量指标上均无差异。

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本文引用的文献

1
Risk, antepartum care, and outcome: impact of a maternity and infant care project.风险、产前护理与结局:母婴护理项目的影响
Obstet Gynecol. 1980 Aug;56(2):150-6.
2
Measuring the impact of programs for mothers and infants on prenatal care and low birth weight: the value of refined analyses.衡量母婴项目对产前护理和低出生体重的影响:精细分析的价值。
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Comparisons between OEO neighborhood health centers and other health care providers of ratings of the quality of health care.OEO社区健康中心与其他医疗服务提供者在医疗质量评级方面的比较。
Am J Public Health. 1971 Jul;61(7):1294-306. doi: 10.2105/ajph.61.7.1294.
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The efficacy of a comprehensive health care project: an empirical analysis.一个综合医疗保健项目的成效:实证分析
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Effectiveness of comprehensive-care programs in preventing rheumatic fever.综合护理项目在预防风湿热方面的有效性。
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Factors in the reduction of infant mortality in a maternity and infant care project.母婴护理项目中降低婴儿死亡率的因素
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