Pediatric Health Quality Assessment in Different Regions of Russian Federation
Baybarina, E.N.; Baranov, A.A.; Namazova-Baranova, L.S.; Piskunova, S.G.; Besedina, E.A.; Sadovshikova, A.N.; Yuldashev, O.R.; Mukhortova, S.A.; Artemova, I.A.; Chernikov, V.V.; Kharkin, A.V.; Chistyakova, E.G.; Vologdina, E.L.; Kaputskaya, T.N.; Kiripova, R.F.
Vestnik Rossiiskoi Akademii Meditsinskikh Nauk 71(3): 214-223
2016
ISSN/ISBN: 0869-6047 PMID: 29297628 Document Number: 689845
The quality of pediatric healthcare is a cornerstone for good maternal and infant health. To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation. Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used. In all regions, similar traits of inpatient pediatric healthcare determining a poor quality were observed. These included low preparedness for emergent care at admission departments; a high rate of unjustified hospitalization due to lack of clear indications for inpatient care; a widespread polypharmacy and unnecessary painful procedures and treatment; inadequate unjustified antimicrobial and parenteral therapy. The revealed identity of problems in different regions of the country allows to consider a common strategy to overcome them, which, obviously, should primarily involve education of medical personnel, restructuring of hospital beds to increase day care beds, increasing the clinical expert work in hospitals.