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  1. 1
    Peer Reviewed

    Comparison of patient evaluations of health care quality in relation to WHO measures of achievement in 12 European countries.

    Kerssens JJ; Groenewegen PP; Sixma HJ; Boerma WG; van der Eijk I

    Bulletin of the World Health Organization. 2004 Feb; 82(2):106-114.

    To gain insight into similarities and differences in patient evaluations of quality of primary care across 12 European countries and to correlate patient evaluations with WHO health system performance measures (for example, responsiveness) of these countries. Patient evaluations were derived from a series of Quote (QUality of care Through patients’ Eyes) instruments designed to measure the quality of primary care. Various research groups provided a total sample of 5133 patients from 12 countries: Belarus, Denmark, Finland, Greece, Ireland, Israel, Italy, the Netherlands, Norway, Portugal, United Kingdom, and Ukraine. Intra-class correlations of 10 Quote items were calculated to measure differences between countries. The world health report 2000 — Health systems: improving performance performance measures in the same countries were correlated with mean Quote scores. Intra–class correlation coefficients ranged from low to very high, which indicated little variation between countries in some respects (for example, primary care providers have a good understanding of patients’ problems in all countries) and large variation in other respects (for example, with respect to prescription of medication and communication between primary care providers). Most correlations between mean Quote scores per country and WHO performance measures were positive. The highest correlation (0.86) was between the primary care provider’s understanding of patients’ problems and responsiveness according to WHO. Patient evaluations of the quality of primary care showed large differences across countries and related positively to WHO’s performance measures of health care systems. (author's)
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  2. 2

    Protocol. Femshield Acceptability Study (pilot phase).

    Mahidol University. Siriraj Family Planning Research Center

    [Unpublished] 1989 Feb. 3, [9] p.

    The Siriraj Family Planning (FP) Research Center in Bangkok, Thailand has developed a protocol to conduct acceptability studies of the female condom Femshield. The study aims to assess participants' attitudes towards this new contraceptive which also protects against sexually transmitted diseases (STDs). Since barrier method use (condom and vaginal spermicide) is low in Thailand, the center has introduced the WHO supplied Femshield to increase protection against sexually transmitted diseases (STDs). 3 advantages of Femshield are it allows free movement of the penis; can be inserted before intercourse; and protects the perineum (where lesions may exist), urethra (an entrance of infection), and the roots of the penis. The Femshield is made of a polyurethane sac (dimensions 8 cm x 15.5 cm; .045 mm thickness) with a removable internal ring to help in insertion and an external ring to hold it in place. The study should include 10-15 sexually active women from each FP clinic who currently use a contraceptive method, are either married or living with a male partner, are willing to participate, and whose willing partners will complete a questionnaire after use. 1st FP personnel will use a screening form to ask each current user of any FP method her attitude based on her perception of Femshield and to participate in the study. Once she decides to participate, she formally consents. A FP worker then uses an admission form to interview her. She next receives 5 Femshields, verbal instruction on how to use them, and a small instructional manual. A FP worker interviews her during the 1 month follow up (follow up form). Study workers send a questionnaire to the partner (husband's form) with instructions to complete the form and return it to the FP clinic. Researchers use the 4 completed forms to analyze the data. (The protocol includes copies of all the standardized forms.)
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