PubMed · 13871159
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H BOOTH. 1962-01-19. Inner needs.. https://pubmed.ncbi.nlm.nih.gov/13871159/
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The aim of this study is to obtain a measure of health needs at regional level, on the basis of information provided by the health module of the Survey of Disabilities, Deficiencies and State of Health, 1999 (SDDSH99). The methodology includes a careful selection of the independent variables and both estimations as tests of alternative regression models. The results show that, in the five analysed use dimensions, important differences exist in the clinical practice for a same health necessity (horizontal inequity) in function of the residence area. Nevertheless, the main results and conclusions indicate that, as the framework of analysis is broadened, adding different healthcare services, and as the population size of the region is increased, the relative healthcare needs converge to the percentage of population of each region.
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INTRODUCTION: To create a new methodology that responds to our needs. OBJECTIVES: To recognise what demands are justified and thus susceptible to improvement, to define and prioritise these areas of improvement, and to establish the action plans for developing these areas whilst bearing in mind existing resources. PROGRAMME: This consists of questionnaires, to find user satisfaction; the level of response other than "don't know"/no answer, which appraises subjective importance; complaints and claims, showing unattained expectations. ACTIVITIES: By contrasting this information and using a prioritisation matrix, we obtain the list of demands. INTERVENTIONS: These will be developed in the processes by means of the action plans that put into practice the areas of improvement found. EVALUATION: Through the REDER system, there is annual evaluation of each process to which the action plans were introduced. DISCUSSION: This methodology was developed because of the existence of a powerful system of quality management with an interest groups voice process (persons, patients, other interest groups), which demanded knowledge of user expectation.