Biomaterial Database

[Program of quality assurance at the primary level of health care]. 1990

H Reyes-Zapata, and V M Meléndez-Colindres, and L M Vidal-Pineda

Instituto Nacional de Perinatología, México, D.F.

Health care quality assurance is an increasing demand of our social environmental, regarding not only high medical technology centers but, even more so, the services given at the primary care level, that covers the greater part of the population. In this paper we describe a quality assurance program implemented through "quality circles" within the immunization program of a primary health care center. The study was done in several stages. In the first two steps (preliminary diagnosis of the local immunization program, and coverage evaluation) the main problems affecting the program's quality were identified. In turn, these results allowed the implementation of the next phases: integration of the quality circles, elaboration of a quality assurance manual, and actual operation of the quality circles. A methodology first developed in a third level care institution was applied in this quality assurance program, which, on the other hand, showed immediate benefits on the services rendered.

UI	MeSH Term	Description	Entries
D008332	Management Quality Circles	Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.	Quality Circles,Circle, Management Quality,Circle, Quality,Circles, Management Quality,Circles, Quality,Management Quality Circle,Quality Circle,Quality Circle, Management,Quality Circles, Management
D008800	Mexico	A country in NORTH AMERICA, bordering the Caribbean Sea and the Gulf of Mexico, between BELIZE and the UNITED STATES, and bordering the North Pacific Ocean, between Guatemala and the UNITED STATES.
D011320	Primary Health Care	Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)	Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D011785	Quality Assurance, Health Care	Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.	Quality Assessment, Health Care,Health Care Quality Assessment,Health Care Quality Assurance,Healthcare Quality Assessment,Healthcare Quality Assurance,Quality Assessment, Healthcare,Quality Assurance, Healthcare,Assessment, Healthcare Quality,Assessments, Healthcare Quality,Assurance, Healthcare Quality,Assurances, Healthcare Quality,Healthcare Quality Assessments,Healthcare Quality Assurances,Quality Assessments, Healthcare,Quality Assurances, Healthcare
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014611	Vaccination	Administration of vaccines to stimulate the host's immune response. This includes any preparation intended for active immunological prophylaxis.	Immunization, Active,Active Immunization,Active Immunizations,Immunizations, Active,Vaccinations
D015397	Program Evaluation	Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.	Evaluation, Program,Family Planning Program Evaluation,Program Appropriateness,Program Effectiveness,Program Sustainability,Appropriateness, Program,Effectiveness, Program,Evaluations, Program,Program Evaluations,Program Sustainabilities,Sustainabilities, Program,Sustainability, Program