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Ano de início
Entree

Quality of care in births and deliveries: towards a comprehensive approach

Processo: 00/07737-9
Linha de fomento:Bolsas no Exterior - Doutorado
Vigência (Início): 01 de janeiro de 2001
Vigência (Término): 31 de maio de 2001
Área do conhecimento:Ciências da Saúde - Saúde Coletiva - Epidemiologia
Pesquisador responsável:Daphne Rattner
Beneficiário:Daphne Rattner
Supervisor no Exterior: Irva Hertz-Picciotto
Instituição-sede: Instituto de Saúde (IS). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brasil
Local de pesquisa : University of North Carolina at Chapel Hill (UNC), Estados Unidos  
Assunto(s):Serviços de saúde   Qualidade da assistência à saúde   Pesquisa sobre serviços de saúde   Obstetrícia   Hospitais públicos

Resumo

This study proposes to elaborate and evaluate a comprehensive system to assess quality of care for obstetric deliveries, using hospitals as unit of analysis. Its overall goal is to identify Quality of Care indicators that are easy to measure, that would be cost-effective to be used on a continuing basis. Those include the traditional triad proposed by Donabedian (structure / process / outcome of care) and associated hospital and socio-environmental variables. The project adopts the public Health perspective as guidance for the evaluation of health care, and defines a comprehensive theoretical framework. The study design is a cross-sectional investigation of hospitals of the State of São Paulo, Brazil, and involves both primary and secondary data of the period between January 1st, 1994 and December 31st, 1995. (AU)