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Salud Pública de México
Print version ISSN 0036-3634
Abstract
SATURNO-HERNANDEZ, Pedro Jesús et al. Deficiencies and variability in the quality of care for hospitalized neonates in Mexico. Cross-sectional study in 28 public hospitals. Salud pública Méx [online]. 2021, vol.63, n.2, pp.180-189. Epub Feb 27, 2023. ISSN 0036-3634. https://doi.org/10.21149/11616.
Objective:
To evaluate the quality of care to newborns with process indicators, in selected pathologies.
Materials and methods:
Multi-centric, cross-sectional evaluation of 9 indicators in 28 hospitals in 11 States of Mexico. Lot Quality Assurance Sampling (LQAS) was used for quality standards and sample per hospital. Randomly selected cases from the Automated Hospital Discharge Subsystem. The hospitals are classified as “standard compliance”/”non-compliance” by indicator and, compliance with 95%CI exact binomial, regional and national, according to non-proportional stratified sampling.
Results:
No indicator meets the standard of 75% in hospitals, with range from 0 to 19 hospitals that meet, according to indicator. Except for timely identification of perinatal asphyxia and onset of correct antibiotics in suspected early sepsis, the compliance is <50% on all other indicators.
Conclusions:
The quality of care for newborns in hospitals is heterogeneous and poor. Indicators are proposed to monitor improvement initiatives.
Keywords : quality indicators; newborn care; asphyxia neonatorum; neonatal sepsis; fetal hypoxia.