30 Parent Satisfaction and Pediatric Primary care Quality in a Public Health System
Notice bibliographique
Résumé
The objective of the study is to assess parent satisfaction, pediatric primary care quality and accessibility. We did a cross-sectionnal study with survey. Two hundred of the 1000 families who had a newborn at the CHUS between January 1st and June 30th, 2002 were enrolled. We used the Rourke Baby Record, a follow-up guide recommended by the Canadian Pediatric Society and by the College of Family Physicians of Canada as a quality-of-care criteria, and a translation of the Parent's Perception of Pediatric Care (P3C) which measure the parents' degree of satisfaction about quality of primary care (longitudinal continuity, access, contextual knowledge, communication, comprehensiveness, and coordination). Of the 200 families, 130 accepted to participate (62%). The mean number of children per family was 1.7±0.8. Families were single-parent in 8% of cases and 10% were living under poverty level. Sixty-six percent of children received their primary care from general practitioners, 19% by pediatricians, and 15% by someone else. Parents were inquired about their child hearing in 66% of cases. Only 41% were guided about breastfeeding, 37% about back sleeping, 17% about dangers of second-hand smoking, and 16% about car seats. Families followed by doctors had less guidance about dangers of second-hand smoking (p=0.002, Chi-squared). Parents of children vaccinated had a higher degree of satisfaction about primary care compared to parents of non vaccinated children (P3C 69±21 vs 45±19, p=0.0001, Chi-squared). Parents felt that general practitioners and pediatricians had better communication skills, had a good contextual knowledge and comprehensiveness of their patients compared to others, and they were able to coordinate care when necessary. Finally, according to P3C scores, overall satisfaction about primary care given by doctors (general practitioners (P3C 70±21) and pediatricians (P3C 69±17) was statistically higher than that given by midwives (P3C 8±0) or by chiropractitioners (P3C 26±0). Satisfaction about primary care given by nurses was intermediate (P3C 58±24). In conclusion, parents are more satisfied of the primary care given by general practitioners or by pediatricians than by others. All care givers are equally accessible. In our health system, recommendations about pediatric primary care and guidance are rarely followed.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».