ASSESSMENT OF THE INPUTS ASPECT OF THE QUALITY OF HOSPITAL CARE IN TIANJIN FIRST CENTRAL HOSPITAL (TFCH), TIANJIN, CHINA BY INPATIENTS

Authors

  • Noor Ahmad Khan
  • Hamdija Ramie
  • Liu Bing
  • Li Jianguo

Abstract

This descriptive cross sectional study on the users’ assessment of the structural aspect of quality' of carehas been conducted from 4th May to 6h June ]996, in TFC hospital, Tianjin.The objective was to assess the structural aspect of quality of care by users’ point of view and to identifypossible areas of intervention for its improvement. Stratified multistage sampling was used and face toface interviews with 181 users in In-Patients Departments (IPD) were conducted. Using Donabedian 'sclassification of quality the structural/ inputs aspect of quality was assessed through the dependent andindependent variables of quality.The results revealed that 82 % of the users were within 20hn distance from the hospital. A total of 74%term reaching to the hospital as convenient and expenditure not so high (71.8%). An overwhelmingmajority term the hospitalization as easy (90.4%), cleanliness good (94.9 %) and drugs available (92.7%).A total of 93.2% term the services received worth the money paid.Key words: - Users, Inpatients, Quality Assessment, Hospital Care.

References

Kisimbo, T.D., "Assessment of Quality of Care in

Peripheral Health Units of Kabarole District, Uganda”.

Sc Thesis, 1994 (unpublished manuscript)

Buve, A. & Foster, S., “Carrying out a Bed Census at a

District Hospital in Zambia”. Health Policy and

Planning, 1995:10(4): 441-445. Oxford Univ. Press.

Locker, D. & Dunnt, D. “Theoretical and

Methodological Issues in Sociological Studies of

Consumer Satisf. with Medical Care”. Soc. Sci. & Med.

; vol.12

Roemer, M.1. & Montoya, A. “Quality Assessment and

Assurance in PHC”. WHO offset publication No 105,

WHO- Geneva, 1988.

Micheal, W., et al. “Quality Judgment by Patients on

General Practice Care: A Literature Analysis”. Soc. Sci.

Med. 1994: Vol 38. No.l.

Kemprecos, L.F. et al.’ The Measurement of Patient

Satis in Health Care Services, A Practical Guide” A

publication of HEALTHCOM Project of USAID,

/1995.

WHO. “The Principles of Quality Assessment”. Report

on a WHO Meeting Barcelona. 17-19 May 1983.

Lewis, J., "Patients Views on Quality Care in General

Practice”: Literature Review. Soc. Sc. Med. 1994;

Vol.39, No.5.

Panarunothai, S., “How to do (or not to do)? The bed

Census Survey: a tool for studying hospitals in-patient

services. Health Policy & Planning; 10 (4): 438-440,

William, C.L. Hsiao. “The Chinese Health Care

System”. Social Sci. & Med. 1995; Vol. 41. No.8: pp-

-1055.

Kurata, J. et. el., “A Comparative Study of Patient

Satisfaction with Health Care in Japan & the U.S.A.”,

Soc. Sc. Me. 1994; Vol.39. No.8, pp-1069-1076.

Vouri, H.V. “Quality Assurance of Health Services:

Concepts a Methodology”. Public Health in Europe,

WHO Regional office for Europe Copenhagen, 1988.

Vol 16

Meche, H. et. al., “Reaching the People, some issues in

the Utilization of selected Hospitals in Addis Ababa”,

Ethiopian Journal Health Development, 1984; 1.

Donabedian, A., “The Quality of Care, how it can be

assessed”, JAMA, Sept.23/30, 1988, Vol 260. No. 12.

Vera, H. “The Client’s View of High Quality Care in

Santiago, Chile”, Studies in Family Planning, 1992.