Inappropriate utilisation of hospital services for primary curative care aggravates inefficiencies and inadequacies in health care delivery.
Identification of reasons for such malutilisation may assist the development of appropriate strategies for development of rationally organised primary and secondary care services that will provide improved quality of care.
Children under 6 years of age living in Khayelitsha.
To ascertain :
(i) the proportion of visits made to Red Cross Children's Hospital (RXH) that could be more appropriately handled at primary care level ;
(ii) reasons for attendance at RXH, compared with attendance at a large community health centre (Site B day hospital) in Khayelitsha ;
(iii) predictors of inappropriate attendance at the teaching hospital for primary care problems.
A case-referent study design was used to compare children attending RXH with children attending Site B day hospital.
All care-givers attending the respective outpatient departments on 2 randomly selected days were included in the study sample.
Data were collected by semi-structured interview and record review, on reasons for attendance, demographic and social variables relating to the child and care-giver, as well as clinical data on the final diagnosis contained in the patients'folders.
Criteria for determining appropriateness of attendance by level of care were developed a priori via a modification of published measures. (...)
Mots-clés Pascal : Utilisation, Service santé, Enfant, Homme, Pédiatrie, Evaluation, Cause, République Sud Africaine, Afrique, Soin
Mots-clés Pascal anglais : Use, Health service, Child, Human, Pediatrics, Evaluation, Cause, South Africa, Africa, Care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0203004
Code Inist : 002B30A04D. Création : 21/05/1997.