Medical Administration

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Index - Child Subjects

Introduction

In order to manage the "Complete Client" information must be gathered concerning many different aspects of a Client's life. Some of these are the following

Client's General Information
Client Medical Information
Service Coverage of the population
Quality of Care
Resource Utilization

Quality of Care (see Health Informatics - Quality of Care)

Quality of Care has different meaning to different stakeholders at different times. Any comprehensive analysis of the Quality of Care requires hundreds of indicators from multi-systems

"Quality Control" will be preformed automatically through the use of the "Manuals for Protocols." These protocols will be designed such that a clinician will follow a certain procedure through his or her interaction with the client.

Method

"Codes" will be assigned according the the following:

Client "Concerns"
Client History
Client Syndromes
Clinical Signs "Physical Examination"
Laboratory Results
Diagnosis
Risk Factors
Management

Rational

The rational for this process is the following:

The Client Reports his or her concerns; why did she come to the client?
Based on the Client Concerns the Health Care Worker should take a History and Risk Factors. This is the Clients Subjective description of his or her needs.
Having the Clients Concerns and History, the Health Care Worker should examine the patient giving special attention to any problem areas.
Based on the Clients concerns, history, and physical findings, the Health Care Worker will order Laboratory Examinations.
With this information, the Health Care Worker can now make an initial diagnosis.
This initial diagnosis then leads to management
Measure the outcomes
Repeat the process
Discharge Client

In each step, the Health Care Worker moves to the next step by obtaining Information. These steps can be "graded" for Quality

Recommendations

In general, for monitoring of quality of care, someone must be assigned responsibility for this care. It is recommended that a local primary care giver be assigned responsible for a client's care. An additional care given should be assigned as a "backup" or as an assistance to the primary care giver.
For each syndrome (cough, diarrhea, fever, ear problems, and respiratory problems) that the client presents, a series of specific examinations and laboratory examinations should be compiled based on Standard Treatment Guidelines, and reviewed by National Organizations of Health Care (such as the World Health Organization and UNICEF, Management of Childhood Illness, World Health Organization, Geneva, 1995).

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