[Indicators and standards proposal for the evaluation of the quality of hospital care: the case for bronchial asthma]

Abstract:

:The objectives of this article are to propose indicators for evaluation of the quality of hospital management of bronchial asthma patients, based on explicit criteria from literature reviews. The central problem identified in the literature review is the erroneous evaluation of severity of asthma crises, either by patients and their relatives, or by health professionals at all levels of care, causing serious consequences not only for the patient, but for society as a whole. Mortality figures indicate that from 1980 to 1990, an average of 2000 deaths per year from asthma occurred in Brazil, of which 70% occurred in hospital. Asthma was the fourth cause of hospitalization (hospital admissions), in the state of Rio de Janeiro in 1993. Only 12% of the admissions that resulted in death made use of the ICU. The above information highlights the need for a thorough evaluation of hospital care of bronchial asthma in Brazil, including a review of all admissions resulting in death and reviews of a sample of all bronchial asthma admissions. Proposed criteria are for this evaluation include: severity of the crise, treatment prescribed, information given to the patient and their relatives, and follow-up appointments made after discharge from hospital.

journal_name

Cad Saude Publica

authors

Noronha MF,Machado CV,Lima LD

keywords:

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

43-58

eissn

0102-311X

issn

1678-4464

pii

S0102-311X1996000600006

journal_volume

12 Suppl 2

pub_type

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