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エチオピアのアディスアベバの施設ベースの緊急医療の提供における障壁と促進者:混合的な方法の研究
Demelash Ataro Ambushe1,2, Lee A Wallis2, Willem Stassen2
1Department of Emergency Medicine, Hawassa University, Hawassa, Ethiopia.
まとめ
エチオピアの緊急医療は,主に設備と物資の不足により,大きな障壁に直面しています. これらの資源と管理の問題に取り組むことは,低所得国や中所得国の緊急サービスの改善と死亡率の削減に不可欠です.
科学分野:
- 緊急 医療
- 公衆衛生
- 医療管理
背景:
- 低所得国や中所得国における死亡の半分以上は 病気や怪我によるものです
- これらの地域の緊急治療室は,施設ベースの緊急ケアを提供するのに多くの障壁に直面しています.
- エチオピアでは緊急医療の障壁とその根本的な理由に関する包括的なデータがない.
研究 の 目的:
- エチオピアの病院における施設ベースの緊急医療の障壁を特定し,分析する.
- 緊急医療の提供の障害の原因を探る
- エチオピアにおける緊急医療サービスの改善を図るためのデータを提供すること.
主な方法:
- 説明的な,連続的な混合方法の設計が採用されました.
- 第1段階は,WHOの病院緊急治療室評価ツール (HEAT) を使用した5つの病院の横断的な評価でした.
- 第2段階は,内容分析を用いた詳細な情報提供者インタビューを含み,データを分析しました.
主要な成果:
- 設備の欠如と物資の不足は,量的に確認された最も一般的な障壁でした (n=119とn=47).
- 医療機器の不足 (n=128) と物資の不足 (n=99) も,診断サービスを実施しない主な理由でした.
- 定性的な調査結果は,資源不足と資源の不適切な管理が主要な障壁であると強調し,資源の利用可能性と良好な管理慣行が促進要因であった.
結論:
- アディスアベバの高等病院はほとんどの緊急処置を行うことができますが,時にはサービスが中断されます.
- 資源不足や管理不良などの障害により,緊急医療の全般的な提供が困難です.
- エチオピアの病院の緊急治療室には,リソースへの投資と管理の改善が必要です.
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