<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462015000400235</article-id>
<article-id pub-id-type="doi">10.1016/j.bmhimx.2015.07.003</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Quality of care for children with upper respiratory infections at Mexican family medicine clinics]]></article-title>
<article-title xml:lang="es"><![CDATA[Calidad de la atención en niños con infecciones respiratorias superiores en las clínicas mexicanas de medicina familiar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Doubova]]></surname>
<given-names><![CDATA[Svetlana V.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perez-Cuevas]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balandrán-Duarte]]></surname>
<given-names><![CDATA[Dulce Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón-Macías]]></surname>
<given-names><![CDATA[Mario E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI Epidemiology and Health Services Research Unit]]></institution>
<addr-line><![CDATA[Mexico ]]></addr-line>
<country>MX</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,InterAmerican Development Bank Division of Social Protection and Health ]]></institution>
<addr-line><![CDATA[Mexico ]]></addr-line>
<country>MX</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Dirección de Investigación ]]></institution>
<addr-line><![CDATA[Mexico ]]></addr-line>
<country>MX</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Salud Pública Center for Evaluation Research and Surveys ]]></institution>
<addr-line><![CDATA[Mexico ]]></addr-line>
<country>MX</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI Hospital de Pediatría]]></institution>
<addr-line><![CDATA[Mexico ]]></addr-line>
<country>MX</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2015</year>
</pub-date>
<volume>72</volume>
<numero>4</numero>
<fpage>235</fpage>
<lpage>241</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462015000400235&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462015000400235&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462015000400235&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[AbstractBackground: Upper respiratory infections are the principal cause of morbidity in children &lt;5 years of age. The objectives of this study were (i) to develop quality-of-care indicators for evaluation of care for children with upper respiratory infections (URI) at the primary care level using data from the electronic health records and (ii) to evaluate the quality of URI care offered to children &lt;5 years of age at family medicine clinics (FMCs).Methods: Development of indicators following the RAND-UCLA method was used. A cross-sectional analysis of quality of care provided for children with URI in four FMCs in Mexico City where 10,677 children &lt;5 years of age with URI participated. The source of information was data from 2009 electronic health records. Quality of care was evaluated using six indicators developed in the first stage of this study.Results: The quality of care evaluation identified that only 15% of children had registries of intentional search of respiratory distress signs and 27% received information on warning signs. More than 61% of children diagnosed with uncomplicated and nonstreptococcal URI received antibiotic prescription during the first visit. In the case of children diagnosed with streptococcal pharyngitis or tonsillitis, 57.5% received the appropriate antibiotic. On average, the percentage of recommended care received was 47.2%.Conclusions: It is reasonable to promote the use of electronic health records to routinely evaluate the quality of URI care. It is necessary to consider quality flaws that were found in order to endorse strategies aimed at strengthening the technical capacity of health personnel to exercise evidence-based clinical practice.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[ResumenIntroducción: Las infecciones respiratorias superiores son la principal causa de morbilidad en niños menores de cinco años. Los objetivos de este estudio fueron los siguientes: (i) desarrollar indicadores para medir la calidad de atención a niños con infecciones respiratorias superiores (IRS) en atención primaria; (ii) evaluar la calidad de la atención para IRS que los menores de cinco años reciben en clínicas de medicina familiar.Métodos: Se desarrollaron indicadores siguiendo el método RAND-UCLA. Estudio transversal de la calidad de atención en cuatro clínicas de medicina familiar en la Ciudad de México. Participaron 10,677 niños menores de cinco años con IRS. La fuente de la información fueron los registros médicos electrónicos de 2009. La calidad de la atención se determinó a través de 6 indicadores.Resultados: La evaluación de la calidad de la atención identificó que el 15% de los niños tenía registros de búsqueda intencionada de signos de dificultad respiratoria; 27% recibió información sobre las señales de alarma. Más del 61% de los niños diagnosticados con IRS no estreptocócica recibió prescripción de antibióticos durante la primera consulta. En los niños con diagnóstico de faringitis estreptocócica o amigdalitis, el 57,5% recibió el antibiótico apropiado. En promedio, el 47.2% recibió la atención recomendada.Conclusiones: Es recomendable promover el uso de los datos del expediente clínico electrónico para evaluar sistemáticamente la calidad de la atención en IRS. Es necesario considerar los problemas de calidad para diseñar las estrategias encaminadas a fortalecer la capacidad técnica del personal de salud para ejercer la práctica clínica basada en la evidencia para la atención de IRS.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Quality of care]]></kwd>
<kwd lng="en"><![CDATA[Upper respiratory infections]]></kwd>
<kwd lng="en"><![CDATA[Indicators]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
<kwd lng="es"><![CDATA[Calidad en la atención]]></kwd>
<kwd lng="es"><![CDATA[Infecciones respiratorias superiores]]></kwd>
<kwd lng="es"><![CDATA[Indicadores]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
</kwd-group>
</article-meta>
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