Donabedian's framework for assessing healthcare quality classifies measures into structure, process, and outcome. Which of the following is an example of a 'structure' indicator?
- A Hospital bed-to-population ratio in the district ✓
- B Proportion of patients receiving appropriate antibiotic prophylaxis before surgery
- C Post-operative infection rate in the surgical ward
- D Percentage of diabetic patients achieving glycaemic control
Correct answer: A. Hospital bed-to-population ratio in the district
Explanation
Structure refers to the attributes of the settings where care occurs, including physical infrastructure, human resources, and organizational characteristics. Bed-to-population ratio reflects resource availability. Antibiotic prophylaxis compliance is a process measure, while post-operative infection rate and glycaemic control are outcome measures.
Reference: Park's Textbook of Preventive and Social Medicine, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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