Gilson L, Magomi M, Mkangaa E
Health Policy Unit, London School of Hygiene and Tropical Medicine, England.
Bull World Health Organ. 1995;73(1):105-14.
Structural quality is a key element in the quality of care provided at the primary level, which aims to offer health care interventions of proven efficacy. This assessment of the structural quality of Tanzanian primary health services indicated serious weaknesses in the available physical infrastructure, as well as supervision and other support, both for government and nongovernmental services and for dispensary and first referral-level services. Addressing these weaknesses is likely to require some additional funding and review of the functions of different groups of health care facilities within the primary care system. Although district health management teams have an important role to play in tackling the weaknesses, the existing division of management responsibilities indicates that they can only do so with the support of the regional and national levels of the health management structure. Study methods might be adapted to facilitate improved supervision and management.
结构质量是初级医疗服务质量的关键要素，其目的是提供经证实有效的医疗保健干预措施。对坦桑尼亚初级卫生服务结构质量的评估表明，现有物质基础设施以及政府和非政府服务、诊疗所和一级转诊服务的监督及其他支持存在严重不足。解决这些不足可能需要一些额外资金，并对初级保健系统内不同组别的医疗保健设施的功能进行审查。尽管地区卫生管理团队在解决这些不足方面可发挥重要作用，但现有的管理职责划分表明，只有在卫生管理结构的区域和国家层面的支持下，他们才能做到这一点。研究方法可加以调整，以促进加强监督和管理。
