EFFICIENCY OF THE MODEL TO IMPROVE CAPACITY OF HEALTH CARE AT HEALTH STATIONS IN THE CENTRAL HIGHLANDS

Xuân Kiên Nguyễn1,, Văn Ba Nguyễn1
1 Vietnam Military Medical Academy

Main Article Content

Abstract

Objective: To evaluate the effectiveness of the model to improve the capacity of health care activities at health stations in the Central Highlands. Subjects and methods: Interventional study applying the model of capacity of health care for commune health workers, commune health facilities, activities related to health care, health work in 28 communes in the Central Highlands border area and people living in intervention communes from January 1st, 2017 to December 31st, 2018. Results: After the intervention, the average number of people visiting the interventional commune health station increased by 0.19. Intervention efficiency 19.45%. After the intervention, the percentage of people who were satisfied with medical equipment, waiting time, medical examination procedures, the level of readiness to provide drugs, and the service attitude of medical staff all increased markedly. The level of use of public health services increased in the intervention commune (37.79%), the effectiveness of the intervention was 49.66%. The rate of people going to buy medicine at the health station when sick increased by 52.92% in the intervention commune, the intervention efficiency was 128.59%. Conclusion: After the intervention with the model of improving health care capacity at health stations, people’s satisfaction is increased, the level of using health services increases.

Article Details

References

1. Phuc BQ, Rasmussen C, Duong TT et al (2017). Treatment Failure of Dihydroartemisinin/Piperaquine for Plasmodium falciparum Malaria. Vietnam Emerg Infect: 715-717.
2. Quang Huynh Hong et al (2016). Malarial health care supplies seeking behaviour of Migrant, mobile populations in targeted province in central highland, Vietnam in 2016. Journal of malaria and parasite diseases control, 6(95): 28-37.
3. Fiedler J.L. (1981). A review of the literature on access and utilization of medical care with special emphasis on rural primary care. Soc Sci Med l5 (129-42.).
4. Vũ Mạnh Dương (2016). Đánh giá mô hình đội lưu động cụm xã nhằm cải thiện hoạt đông khám chữa bệnh của trạm y tế tại 3 huyện của tỉnh Ninh Bình. Luận án Tiến sỹ chuyên ngành y tế công cộng, trang 78-90.
5. Lê Đình Phan (2017). Thực trạng và hiệu quả can thiệp nâng cao chất lượng hoạt động của Trạm Y tế xã tại tỉnh Hòa Bình. Luận án tiến sỹ y học chuyên ngành Vệ sinh xã hội học và Tổ chức Y tế trang 81-105.
6. Sleath B Chewning B (2002). Medication decision - making and management: a client - centered model. Soc Sci Med;42:389-98.