PMID: 9537271Apr 16, 1998Paper

Diagnostic quality in rural health centres in Burkina Faso

Tropical Medicine & International Health : TM & IH
G KrauseH J Diesfeld

Abstract

To study the quality of diagnostic practice in rural Burkina Faso. In 9 health centres of 3 districts, 313 outpatient consultations were observed, and 417 diagnoses by 15 nurses were analysed. Criteria for evaluation of patient history and clinical examination were based on the diagnostic guidelines distributed by the Ministry of Health. In only 20% of the diagnoses the nurses took a sufficient history and in only 40% they conducted a sufficient clinical examination. In 21% patients underwent no clinical examination at all. Only 12% of all diagnoses were based on sufficient history-taking and adequate clinical examinations. The individual elements of clinical examination were performed correctly in 82% of cases. The variation between nurses was immense, but no correlation could be found with regard to their basic training. However, nurses who had received the diagnostic guidelines examined patients more carefully than those who had not. Larger numbers of patients per day are not associated with shorter nurse-patient contact, and neither is sufficiency of patient history associated with duration of the consultation. The low diagnostic quality of the outpatient consultations in the studied area indicates that this issue has been ...Continue Reading

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Citations

Jan 17, 2008·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Paul Marschall, Steffen Flessa
Oct 16, 2004·Health Policy·Hengjin DongRainer Sauerborn
Apr 1, 2004·Anthropology & Medicine·Helle Samuelsen
Mar 9, 2012·BMC Health Services Research·Tegawende Pierre IlboudoNicole Huang
May 18, 2013·International Journal for Equity in Health·Paul Jacob RobynRainer Sauerborn
Dec 23, 2006·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Hengjin DongRainer Sauerborn
Mar 21, 2002·Tropical Medicine & International Health : TM & IH·Stephen E D NsimbaMarian Warsame
Jan 19, 1999·Tropical Medicine & International Health : TM & IH·J Benzler, R Sauerborn
Jan 9, 2007·Tropical Medicine & International Health : TM & IH·J EriksenL L Gustafsson
Apr 10, 2008·Tropical Medicine & International Health : TM & IH·C KristianssonM Larsson
Apr 2, 2005·Health Policy·Hengjin DongRainer Sauerborn
Nov 22, 2005·Annals of Tropical Paediatrics·Karin KällanderStefan Peterson
Jan 1, 2008·International Quarterly of Community Health Education·O B YusufF Pagnoni
Apr 20, 2002·The International Journal of Health Planning and Management·S SiddiqiR Sauerborn
Sep 26, 2003·Health Economics·Hengjin DongRainer Sauerborn

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