肯尼亚门诊环境中提高新型质量指标绩效的简短教育干预措施：一项多站点前后对照有效性试验

数据集获取（Figshare）

• 源站标题：Brief educational interventions to improve performance on novel quality metrics in ambulatory settings in Kenya: A multi-site pre-post effectiveness trial
• DOI：10.1371/journal.pone.0174566
• 发布日期：2017-04-14
• 文件数：5 个
• 文件总体积：3.15 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Brief_educational_interventions_to_improve_performance_on_novel_quality_metrics_in_ambulatory_settings_in_Kenya_A_multi-site_pre-post_effectiveness_trial/4878080

命令行下载

curl -L -o "S1 Fig.pdf" "https://ndownloader.figshare.com/files/8169230"
curl -L -o "S2 Fig.pdf" "https://ndownloader.figshare.com/files/8169254"
curl -L -o "S3 Fig.pdf" "https://ndownloader.figshare.com/files/8169257"
curl -L -o "S1 Table.csv" "https://ndownloader.figshare.com/files/8169269"
curl -L -o "S2 Table.xlsx" "https://ndownloader.figshare.com/files/8169287"

文件清单

• S1 Fig.pdf（3.04 MB）
• S2 Fig.pdf（46.73 KB）
• S3 Fig.pdf（45.45 KB）
• S1 Table.csv（9.38 KB）
• S2 Table.xlsx（171 B）

文件总体积 3.15 MB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
The quality of primary care delivered in resource-limited settings is low. While some progress has been made using educational interventions, it is not yet clear how to sustainably improve care for common acute illnesses in the outpatient setting. Management of urinary tract infection is particularly important in resource-limited settings, where it is commonly diagnosed and associated with high levels of antimicrobial resistance. We describe an educational programme targeting non-physician health care providers and its effects on various clinical quality metrics for urinary tract infection.
Methods
We used a series of educational interventions including 1) formal introduction of a clinical practice guideline, 2) peer-to-peer chart review, and 3) peer-reviewed literature describing local antimicrobial resistance patterns. Interventions were conducted for clinical officers (N = 24) at two outpatient centers near Nairobi, Kenya over a one-year period. The medical records of 474 patients with urinary tract infections were scored on five clinical quality metrics, with the primary outcome being the proportion of cases in which the guideline-recommended antibiotic was prescribed. The results at baseline and following each intervention were compared using chi-squared tests and unpaired two-tailed T-tests for significance. Logistic regression analysis was used to assess for possible confounders.
Findings
Clinician adherence to the guideline-recommended antibiotic improved significantly during the study period, from 19% at baseline to 68% following all interventions (Χ2 = 150.7, p Conclusion
This study shows that brief educational interventions can dramatically improve the quality of care for routine acute illnesses in the outpatient setting. Measurement of quality metrics allows for further targeting of educational interventions depending on the needs of the providers and the community. Further study is needed to expand routine measurement of quality metrics and to identify the interventions that are most effective in improving quality of care.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0174566（source: https://plos.figshare.com/articles/dataset/Brief_educational_interventions_to_improve_performance_on_novel_quality_metrics_in_ambulatory_settings_in_Kenya_A_multi-site_pre-post_effectiveness_trial/4878080）。