Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru
Objectives. To assess five elements of healthcare quality (physical space, equipment, personnel, waiting time, and counseling) in growth and development services (GDS) at 18 healthcare establishments in nine regions of Peru with high rates of poverty. Materials and methods. A quali-quantitative stud...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
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Instituto Nacional de Salud
2016-02-01
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| Series: | Revista Peruana de Medicina Experimental y Salud Pública |
| Subjects: | |
| Online Access: | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1922 |
| _version_ | 1819149723022393344 |
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| author | Luis Germán Cordero Muñoz Cecilia Montes Jave José Enrique Velásquez Hurtado Yuleika Rodríguez Calviño Walter Eduardo Vigo Valdez Ángel Martín Rosas-Aguirre |
| author_facet | Luis Germán Cordero Muñoz Cecilia Montes Jave José Enrique Velásquez Hurtado Yuleika Rodríguez Calviño Walter Eduardo Vigo Valdez Ángel Martín Rosas-Aguirre |
| author_sort | Luis Germán Cordero Muñoz |
| collection | DOAJ |
| description | Objectives. To assess five elements of healthcare quality (physical space, equipment, personnel, waiting time, and counseling) in growth and development services (GDS) at 18 healthcare establishments in nine regions of Peru with high rates of poverty. Materials and methods. A quali-quantitative study was carried out in the Amazonas, Apurímac, Ayacucho, Cajamarca, Cusco, Huánuco, Huancavelica, Puno, and Ucayali regions, that included direct observation (DO) during medical assistance in GDS, focus groups (FG, one user per healthcare establishment), and in-depth interviews (IDI) with healthcare workers (two per healthcare establishment). Results. There were 18 DOs carried out to assess environment and equipment, 23 DOs of complete service shifts, 67 accompaniments to users during medical assistance in GDS, 18 FGs (118 participating mothers), and 36 IDIs. Both mothers and healthcare professionals agreed that there were limitations in infrastructure, equipment, materials, and personnel that impacted quality medical assistance in GDS. Delays in medical assistance, failure to comply with schedules, and lack of friendliness when providing medical care were the aspects that produced the greatest user dissatisfaction. Only 24.3% of the total amount of time spent at the healthcare establishment corresponded to beneficial activities for the user, although the Health Department was meeting the objective to promote improvement of childcare practices. Conclusions. The study was useful in identifying weaknesses and strengths that may help redirect GDS efforts within the framework of policies aimed at strengthening first-class medical assistance. |
| first_indexed | 2024-12-22T14:06:08Z |
| format | Article |
| id | doaj.art-2c08f5cd5633476cae4608ce1315b98d |
| institution | Directory Open Access Journal |
| issn | 1726-4634 1726-4642 |
| language | Spanish |
| last_indexed | 2024-12-22T14:06:08Z |
| publishDate | 2016-02-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Revista Peruana de Medicina Experimental y Salud Pública |
| spelling | doaj.art-2c08f5cd5633476cae4608ce1315b98d2022-12-21T18:23:17ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422016-02-01331213110.17843/rpmesp.2016.331.19221713Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of PeruLuis Germán Cordero Muñoz0Cecilia Montes Jave1José Enrique Velásquez Hurtado2Yuleika Rodríguez Calviño3Walter Eduardo Vigo Valdez4Ángel Martín Rosas-Aguirre5Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú. Universidad Peruana Cayetano Heredia. Lima, Perú.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú. Asociación “Incluir sin Fronteras”. Lima, Perú.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú. Universidad Peruana Cayetano Heredia. Lima, Perú.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú.Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú.Universidad Peruana Cayetano Heredia. Lima, Perú.Objectives. To assess five elements of healthcare quality (physical space, equipment, personnel, waiting time, and counseling) in growth and development services (GDS) at 18 healthcare establishments in nine regions of Peru with high rates of poverty. Materials and methods. A quali-quantitative study was carried out in the Amazonas, Apurímac, Ayacucho, Cajamarca, Cusco, Huánuco, Huancavelica, Puno, and Ucayali regions, that included direct observation (DO) during medical assistance in GDS, focus groups (FG, one user per healthcare establishment), and in-depth interviews (IDI) with healthcare workers (two per healthcare establishment). Results. There were 18 DOs carried out to assess environment and equipment, 23 DOs of complete service shifts, 67 accompaniments to users during medical assistance in GDS, 18 FGs (118 participating mothers), and 36 IDIs. Both mothers and healthcare professionals agreed that there were limitations in infrastructure, equipment, materials, and personnel that impacted quality medical assistance in GDS. Delays in medical assistance, failure to comply with schedules, and lack of friendliness when providing medical care were the aspects that produced the greatest user dissatisfaction. Only 24.3% of the total amount of time spent at the healthcare establishment corresponded to beneficial activities for the user, although the Health Department was meeting the objective to promote improvement of childcare practices. Conclusions. The study was useful in identifying weaknesses and strengths that may help redirect GDS efforts within the framework of policies aimed at strengthening first-class medical assistance.https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1922crecimiento y desarrollocuidado del niñocalidad de la atención de saludinvestigación cualitativaprevención & control |
| spellingShingle | Luis Germán Cordero Muñoz Cecilia Montes Jave José Enrique Velásquez Hurtado Yuleika Rodríguez Calviño Walter Eduardo Vigo Valdez Ángel Martín Rosas-Aguirre Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru Revista Peruana de Medicina Experimental y Salud Pública crecimiento y desarrollo cuidado del niño calidad de la atención de salud investigación cualitativa prevención & control |
| title | Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru |
| title_full | Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru |
| title_fullStr | Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru |
| title_full_unstemmed | Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru |
| title_short | Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru |
| title_sort | quali quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of peru |
| topic | crecimiento y desarrollo cuidado del niño calidad de la atención de salud investigación cualitativa prevención & control |
| url | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1922 |
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