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Content of Care in 15,000 Sick Child Consultations in Nine Lower-Income Countries.
- Source :
- Health Services Research; Aug2018, Vol. 53 Issue 4, p2084-2098, 15p, 2 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- <bold>Objective: </bold>Describe content of clinical care for sick children in low-resource settings.<bold>Data Sources: </bold>Nationally representative health facility surveys in Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Tanzania, and Uganda from 2007 to 2015.<bold>Study Design: </bold>Clinical visits by sick children under 5 years were observed and caregivers interviewed. We describe duration and content of the care in the visit and estimate associations between increased content and caregiver knowledge and satisfaction.<bold>Principal Findings: </bold>The median duration of 15,444 observations was 8 minutes; providers performed 8.4 of a maximum 24 clinical actions per visit. Content of care was minimally greater for severely ill children. Each additional clinical action was associated with 2 percent higher caregiver knowledge.<bold>Conclusions: </bold>Consultations for children in nine lower-income countries are brief and limited. A greater number of clinical actions was associated with caregiver knowledge and satisfaction. [ABSTRACT FROM AUTHOR]
- Subjects :
- SICK children
MEDICAL consultation
CAREGIVERS
PATIENT satisfaction
MEDICAL care
Subjects
Details
- Language :
- English
- ISSN :
- 00179124
- Volume :
- 53
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health Services Research
- Publication Type :
- Academic Journal
- Accession number :
- 130795101
- Full Text :
- https://doi.org/10.1111/1475-6773.12842