Gauging food and nutritional care quality in hospitalsReport as inadecuate

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Nutrition Journal

, 11:66

First Online: 06 September 2012Received: 21 March 2012Accepted: 27 August 2012


BackgroundFood and nutritional care quality must be assessed and scored, so as to improve health institution efficacy. This study aimed to detect and compare actions related to food and nutritional care quality in public and private hospitals.

MethodsInvestigation of the Hospital Food and Nutrition Service HFNS of 37 hospitals by means of structured interviews assessing two quality control corpora, namely nutritional care quality NCQ and hospital food service quality FSQ. HFNS was also evaluated with respect to human resources per hospital bed and per produced meal.

ResultsComparison between public and private institutions revealed that there was a statistically significant difference between the number of hospital beds per HFNS staff member p = 0.02 and per dietitian p < 0.01. The mean compliance with NCQ criteria in public and private institutions was 51.8% and 41.6%, respectively. The percentage of public and private health institutions in conformity with FSQ criteria was 42.4% and 49.1%, respectively. Most of the actions comprising each corpus, NCQ and FSQ, varied considerably between the two types of institution. NCQ was positively influenced by hospital type general and presence of a clinical dietitian. FSQ was affected by institution size: large and medium-sized hospitals were significantly better than small ones.

ConclusionsFood and nutritional care in hospital is still incipient, and actions concerning both nutritional care and food service take place on an irregular basis. It is clear that the design of food and nutritional care in hospital indicators is mandatory, and that guidelines for the development of actions as well as qualification and assessment of nutritional care are urgent.

KeywordsFood care Nutritional care Public hospital Private hospital  Download fulltext PDF

Author: Rosa Wanda Diez-Garcia - Anete Araújo de Sousa - Rossana Pacheco da Costa Proença - Vania Aparecida Leandro-Merhi - Ed


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