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林波波省一家初级保健诊所资源不足对服务质量的影响。

The impact of insufficient resources on the quality-of-service delivery at a primary healthcare clinic in Limpopo.

作者信息

Malematja Dikeledi N, Nkosi Elizabeth M, Nene Sanele E

机构信息

Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg.

出版信息

Curationis. 2025 Apr 30;48(1):e1-e7. doi: 10.4102/curationis.v48i1.2696.

Abstract

BACKGROUND

Insufficient resources at healthcare clinics pose a serious problem, undermining the quality-of-service delivery and negatively affecting the patients as recipients of care and the staff as providers of care. The shortages often result in extended waiting periods, delayed implementation of nursing interventions, prolonged hospitalisation and the potential of increased nosocomial infections.

OBJECTIVES

To explore and describe the impact of insufficient resources on the quality-of-service delivery at a primary healthcare clinic in Limpopo.

METHOD

The study followed a qualitative, exploratory, descriptive and contextual design. Participants were selected using purposive sampling. Interviews were conducted until data saturation was reached. The interviews were audio-recorded, transcribed verbatim and analysed using Tesch's eight-step method of data analysis. The study was steered by the Donabedian quality-of-care framework.

RESULTS

One central theme emerged, namely scarcity of healthcare resources, with three subthemes: (1) the impact of water shortage on the quality-of-service delivery, (2) the impact of staff shortage on the quality-of-service delivery and (3) the impact of medication shortage on the quality-of-service delivery.

CONCLUSION

Insufficient resources negatively affect the quality-of-service delivery in healthcare. The provision of sufficient resources through collective managerial interventions is imperative to develop and implement measures to enhance the quality-of-service delivery.Contribution: This study may create awareness among the leadership about the challenges of the clinic. It may also facilitate the development and implementation of processes to provide the resources required to improve the quality-of-service delivery.

摘要

背景

医疗诊所资源不足是一个严重问题,会破坏服务质量的提供,并对作为护理接受者的患者和作为护理提供者的工作人员产生负面影响。资源短缺往往导致等待时间延长、护理干预措施实施延迟、住院时间延长以及医院感染增加的可能性。

目的

探讨并描述资源不足对林波波省一家初级医疗诊所服务质量的影响。

方法

本研究采用定性、探索性、描述性和情境性设计。采用目的抽样法选择参与者。进行访谈直至达到数据饱和。访谈进行录音,逐字转录,并使用泰施的八步数据分析方法进行分析。本研究以唐纳贝迪安护理质量框架为指导。

结果

出现了一个中心主题,即医疗资源短缺,并有三个子主题:(1)缺水对服务质量提供的影响,(2)人员短缺对服务质量提供的影响,以及(3)药品短缺对服务质量提供的影响。

结论

资源不足对医疗服务质量产生负面影响。通过集体管理干预提供充足资源对于制定和实施提高服务质量的措施至关重要。

贡献

本研究可能会使领导层认识到诊所面临的挑战。它还可能促进制定和实施相关流程,以提供提高服务质量所需的资源。

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