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similare conform CZU
|Organizarea publică şi profesională a sănătăţii (430)|
| SM ISO690:2012|
REVENCO, Ninel; HORODIŞTEANU-BANUH, Adela; ARAMĂ, Marina; SAVOSCHIN, Dorina; CHIPER, Natalia. Calitatea supravegherii copiilor în cadrul serviciului de asistenţă medicală primară în Republica Moldova. In: Buletin de Perinatologie. 2018, nr. 4(80), pp. 26-34. ISSN 1810-5289.
|Buletin de Perinatologie|
|Numărul 4(80) / 2018 / ISSN 1810-5289|
Aim of the study: evaluation of the implementation and quality of operation of the standards of the child´s growth and development in primary care services in the Republic of Moldova Materials and methods: the study was conducted in the Chişinau and Balti municipalities and rural counties (Drochia, Cahul, Hincesti) and included the analysis of data regarding healthy child check-ups in the 18 years of age, recorded in theChild Card –statistical form 112/e (F 112/e) in a group of 300 children followed-up by family doctors. Results: insufficient level of knowledge of the optimized STANDARDS cause that a lot of health workers from Primary Health Care Centres continue to apply the „old” STANDARDS, conducting unreasonable excessive number of home visits: over 2/3 of children under 12 months were visited more frequently than it is currently required. According to data collected from 112/e records it has been established that in the villages the implementation of Standards on home visiting by family doctor’s nurse of children during their first year of life is twice higher compared to the average index in the surveyed summary group. The lowest indicator on home-visiting by family doctor’s nurse has been registered in municipal Family Doctors Centers, where 14-17% of children under one years old have not received any home-visits from family doctor’s nurse according to current STANDARDS. After first year of life of a child the STANDARDS on medical examination in medical institutions are implemented much less often. Mandatory autism screening is insufficiently implemented, being expected to be performed at the age of 18-24 months. Conclusions: the adjusted STANDARDS have re-focused the efforts of health workers to families with higher social and medical risk, strengthening supervision process of chidren from this group through family doctors and nurses visits. Two important trends have been observed as well: vulnerable families with higher social risks were visited slightly more often then children from families without vulnerabilities; children living in rural areas were visited more frequently then children from urban areas.
standards of the child´s growth and development monitoring, primary care service, family doctor, family doctor´s assistant