小児科への紹介に対処する - ウガンダの親の経験
Stefan Peterson1, Jesca Nsungwa-Sabiiti, Wilson Were
1WHO, Uganda. stefan.peterson@phs.ki.se
Lancet (London, England)
|June 15, 2004
まとめ
ウガンダの病気の子供の紹介は,高いコストと輸送の問題のために,しばしば不完全です. 費用対効果の改善と医療従事者のエンパワーメントは,効果的な小児保健医療に不可欠です.
科学分野:
- 小児科は小児科です.
- 公衆衛生は公衆衛生である.
- 医療システム研究 医療システム研究
背景:
- 子どもの病気の統合管理 (IMCI) 戦略は,重病児を病院に間に合うように送院することに依存しています.
- 効果的な推薦の完了は,資源が限られた環境で子供の死亡率を減らすために不可欠です.
研究 の 目的:
- ウガンダの農村部で重症児の病院紹介の完了率と関連する費用を評価する.
- 介護者が病院の紹介を完了するのを妨げている障壁を特定する.
主な方法:
- ウガンダの田舎の12の保健施設で調査が行われました.
- 227人の子供の紹介完了状況が2週間にわたって追跡されました.
- 推薦費用と未完成の理由に関するデータが収集されました.
主要な成果:
- 紹介された子供の28%だけが2週間以内に病院への紹介を完了しました.
- 中央の紹介コストは8.85USDで,有意な変動がありました.
- 主な障壁は,資金不足 (90%),交通問題 (26%),家庭での責任 (17%) でした.
結論:
- ウガンダの農村部では,小児科の紹介の費用が高く,その効果が妨げられています.
- 推薦費用の削減とIMCI基準の精錬は,現実的な小児ケアのために必要である.
- 重篤な小児疾患の管理に第一レベルの医療従事者に権限を与えることが推奨されています.
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