Calidad de la Atención en Establecimientos Públicos y Privados de Atención Primaria de Salud

Comparaciones Estructurales en Jamaica

Published in: Boletin De La Oficina Sanitaria Panamericana, v. 117, no. 3, Sep. 1994, p. 193-212

Posted on RAND.org on December 31, 1993

by John Peabody, Omar Rahman, Kristin Fox, Paul Gertler

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Uses structural measures to assess quality in 366 public and 189 private clinics in Jamaica in 1990. The authors conclude that public clinics provide better prenatal diagnosis and counseling and more family planning services than private clinics. However, private clinics are in better physical condition, better equipped and supplied, and better able to supply laboratory results in a timely manner. Urban clinics are better equipped than rural clinics; however, rural clinics are in better repair. The authors of this article recognize that measurement of quality based on structure does not necessarily indicate that care is better or worse, but they conclude that in countries such as Jamaica one needs to have sufficient equipment to make care possible.

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