BOOKS OF RtfiDIfGS - PAHO/WHO

NUTTING ET AL.
TABLE 4. Results From Three Service Units of the Indicator Sequence
Designed to Examine the Continuity of Process for Treatment and Follow-Up
1. Contact for The proportiotn of patients with
evaluation a positive screening result who
made contact with the health
cate system within an
appropriate time frame
(within 3 weeks for anemia and
within 2 weeks for urinary
tract infection).
2. Recognition of The proportion of patients making
problem contact for whom there was any
evidence that the problem
was recognized.
3. Provision of The proportion of patients with
treatment the problem recognized who
received appropriate treatment
within 2 weeks afer
recognition.
4. Contact for The proportion of patients
follow-up achieving contact with the health
care system within a
time frame appropriate
for follow-up (within 3-6 weeks
afier treatment initiated for
anemia and %w ! in 4 weeks aftcr
~t..i;.~.q.~; :."i.s;Ne or-omp}eretefor
unnary dtra'cC iiiLi.~c2i/,.
5. Recognition of The proportion of patients making
need for contact for whom there is any *
follow-up evidence that the problem
andlor the need for follow-up
was recognized.
6. Provision of The proportion of patients with
follow-up recognition of problem
and/or the need for follow-up,
who received an appropriate
follow.up (hemotocrit, hemoglobin,
or reticulocyte count for anemia;
urine culture or microscopic
urinalysis for urinary
tract infection).
Continuity-of- The proportion of patients with
process index a positive screening result who
completed the entire health
care sequence. (The continuityof-process
index may also be
computed as the product of the
proportions for each of the
indicators 1 through 6).
Service Service Service
Unit C Unit D Unit E
0.92 (62/67) 0.93 (931100) 0.73 (73/100)
0.90 (56;62) 0.76(71,93) 0.62 (45173)
0.95 (53/56) 0.,99 (70/7, ) 0,93 (42/45)
0.83 (441/53) 0.89 (62/70) 0.52 (22/42)
0.69 (39'44) 0.61 ,i,. .6',
'.
0.95 (37/39) 0.95(36/38) 1.0 (9;9)
0.55 (37/67) 0.36 (36/100) 0.09 (9/100)
The results shown are an aggregate ofdata derived from nutritional anemia and urinarytractinfections.The study
cohorts for Service Units D and E are random samples of 50 patients foreach tracer. The study cohorts from Senive
Unit C consist of a total sample of 36 patients with anemia and 31 patients with urinarv tract infection.
health nurses performn well in recognition,
but the hospital outpatient department and
the field clinics contribute substantially
less to the perfornnance.
- 132 - .MEDICAL CARE
The data in Table 6 show that the
average-risk women who were due for ca;re
made a higher proportion of their encouln
ters with the prenatal clinic than did the