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Multifaceted intervention to implement indicators of quality of care for severe pre-eclampsia/eclampsia
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2014 (English)In: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 124, no 2, 106-111 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To assess the acceptability of implementing indicators of quality of care for severe pre-eclampsia/eclampsia to health providers, and to evaluate the effect of a multifaceted intervention on adherence to these indicators. Methods: A multifaceted approach was used to implement indicators of quality of care for severe pre-eclampsia/eclampsia that were relevant to both district and referral hospitals. Healthcare providers at 9 hospitals in Southern Thailand rated the acceptability and priority of each indicator. In addition, medical records were reviewed before and after the intervention. Results: More than 90% of the indicators were considered to be acceptable by the 145 health providers who participated in the study. After the intervention, adherence to most indicators was significantly increased. However, adherence after the intervention was lower than 80% for one-third of the indicators at district hospitals, compared with less than 10% of the indicators at referral hospitals. Common barriers to indicator implementation were lack of resources and skills, difficulty in making early and accurate diagnoses, and management. Conclusion: The indicators for the quality of care for severe pre-eclampsia/eclampsia were acceptable. Adherence to the indicators increased through a multifaceted intervention; however, the adherence varied considerably depending on the hospital referral level.

Place, publisher, year, edition, pages
2014. Vol. 124, no 2, 106-111 p.
Keyword [en]
Acceptability, Adherence, Eclampsia, Indicator, Multifaceted intervention, Priority, Severe pre-eclampsia
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-219962DOI: 10.1016/j.ijgo.2013.08.005ISI: 000330496300004OAI: oai:DiVA.org:uu-219962DiVA: diva2:704587
Available from: 2014-03-12 Created: 2014-03-09 Last updated: 2017-12-05Bibliographically approved

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Lindmark, Gunilla

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