(i) To ascertain what proportion of patients attending the general medical outpatient service at Red Cross War Memorial Children's Hospital (RXH) could safel be managed at peripheral primary care facilities ; and (ii) to measure the effect of the introduction of free health care for children under 6 years of age on requirements for levels of care ranging from home to super-specialist referral centres.
Prospective survey of patients attending on a stratified, randomised sample of 7 days in March 1994 (N=1 962) and again in November 1994 (N=1 404) - before and after the introduction on 6 June 1994 of free care for children under 6 years of age.
The general outpatient department of an academic/referral children's hospital.
All patients attending the outpatient department on the study days (7h00 to 6h59 the following day), excluding those who were referred, returning for follow-up, attending a specialist clinic or attending the surgical outpatient department.
The questionnaire completed by medica officers recorded the following :
patient's name, folder number, date and time of arrival, whether referred, clinic, treating doctor, disposal, diagnoses, home suburb and the level of care required : (i) home ;
(ii) clinic without a doctor ;
(iii) clinic with a doctor ;
(iv) hospital with non-specialists ;
(v) hospital with general paediatricians ;
or (vi) super-specialist hospital.
Mots-clés Pascal : Utilisation, Soin santé primaire, Enfant, Homme, Hôpital, Médecin généraliste, Soin, République Sud Africaine, Afrique
Mots-clés Pascal anglais : Use, Primary health care, Child, Human, Hospital, General practitioner, Care, South Africa, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0203005
Code Inist : 002B30A04D. Création : 21/05/1997.