Lynam P, Rabinovitz L M, Shobowale M
Stud Fam Plann. 1993 Jul-Aug;24(4):252-60.
A follow-up study was conducted to evaluate the effect of a self-assessment technique called COPE (client-oriented, provider-efficient) on the quality of family planning clinic operations in Africa. In 1991 the Association for Voluntary Surgical Contraception revisited 11 clinics where it had introduced COPE from five to 15 months earlier. Changes that had occurred as a result of the COPE intervention were assessed by (1) determining how many of the clinic problems identified by staff at the COPE introduction had been solved; (2) comparing the results of a second client-flow analysis with the initial analysis; and (3) interviewing service providers to obtain their opinions of the effects of COPE. Of the problems identified by staff nearly three-fourths of those that could be solved internally were solved. The study revealed improvements in the quality of care provided as well as increased staff involvement in solving clinic problems.
开展了一项后续研究，以评估一种名为COPE（以客户为导向、提高提供者效率）的自我评估技术对非洲计划生育诊所运营质量的影响。1991年，自愿手术避孕协会回访了11家诊所，这些诊所已于5至15个月前引入了COPE。通过以下方式评估因COPE干预而发生的变化：（1）确定在引入COPE时工作人员所确定的诊所问题中有多少得到了解决；（2）将第二次客户流量分析的结果与初始分析进行比较；（3）采访服务提供者，以获取他们对COPE效果的看法。在工作人员所确定的问题中，近四分之三可以在内部解决的问题都得到了解决。该研究表明，所提供的护理质量有所提高，并且工作人员在解决诊所问题方面的参与度也有所提高。
