グローバル・オペレーション・シアター・ディストリビューションとパルス・オキシメトリー・サプライ: 報告されたデータからの推定値
Luke M Funk1, Thomas G Weiser, William R Berry
1Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA. lfunk@partners.org
Lancet (London, England)
|July 6, 2010
まとめ
世界的に外科手術へのアクセスは不平等で,低所得地域では10万人あたりの手術室が2つ未満である. 多くの手術室には必要不可欠なパルスオキシメトリーが欠けていて,世界中の数十億人の手術の安全性に影響を与えています.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 外科手術サービスについて
- 健康の平等,健康の平等について
背景:
- 資源の不足は,多くの場合,世界中の外科サービスの可用性を制限します.
- 手術室とパルスオキシメトリーのような重要な監視装置は,手術能力の重要な指標です.
- 世界的に,外科治療へのアクセスにおいて,大きな格差が存在します.
研究 の 目的:
- 操作室のグローバル分布を推定する.
- 世界中の手術室でパルスオキシメトリーの可用性を定量化するために.
- 異なるグローバル地域における外科資源の格差を特定する.
主な方法:
- 世界保健機関 (WHO) の"安全な手術は命を救う"イニシアチブに参加している92カ国の769の病院のデータを活用した.
- 計算された手術室と病院のベッドの比率,および10万人あたりの推定手術室.
- 72カ国の麻酔提供者を調査し,パルス酸素測定の可用性を評価するために回帰モデリングを使用しました.
主要な成果:
- 手術室の利用率は,サハラ以南のアフリカ西部では10万人当たり1.0から,東ヨーロッパでは10万人当たり25.1まで大きく変化した.
- 低所得地域は22億人にサービスを提供しているが,人口10万人あたりの手術室は2台未満である.
- 世界の手術室の約19.2%にパルスオキシメトリーがなく,手術の安全性に影響を与えました.
結論:
- 公衆衛生戦略とモニタリングの緊急改善が必要である.
- 20億人以上の人々にとって,外科治療へのアクセスにおける格差を解決することは極めて重要です.
- 強化された資源配分とモニタリングは,グローバルな外科ケアを改善するために不可欠です.
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