[Clinical examination of children in municipal pediatric polyclinics].

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med

Published: November 2005

In 3 municipal polyclinics in city of Makhachkala, Republic of Dagestan, special research was carried out to elaborate technical guidelines enhancing quality of children clinical examinations. Quality of children clinical examinations had been assessed according to expert evaluation of 437 outpatient records. Expert appraisal revealed that in municipal pediatric polyclinics quality of children medical examinations didn't correspond the needed level. Irregular medical supervision of children by district pediatricians (23.1% of cases), district nurses (38%) and clinical specialists (68.3%) is established. It is noted that in 19.9% of cases untimely medical examinations were held. Moreover, for every forth patient the medical examination was incomplete. Health promoting activities (17.5%) and medical rehabilitation (24.8%) were carried out inadequately. On basis of research data system of actions enhancing quality of children medical examinations under municipal pediatric polyclinics practice is elaborated.

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