如何应对儿科转诊 - - 乌干达父母的经验
Stefan Peterson1, Jesca Nsungwa-Sabiiti, Wilson Were
1WHO, Uganda. stefan.peterson@phs.ki.se
Lancet (London, England)
|June 15, 2004
概括
由于昂贵的成本和运输问题,乌干达的生病儿童的转诊往往不完整. 提高负担能力和赋予卫生工作者权力对于有效的儿童医疗保健至关重要.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
背景情况:
- 儿童疾病综合管理 (IMCI) 战略依赖于将重病儿童及时转诊到医院.
- 在资源有限的环境中,有效完成转诊对于降低儿童死亡率至关重要.
研究的目的:
- 评估乌干达农村地区重病儿童住院转诊的完成率和相关费用.
- 找出阻碍护理人员完成医院转诊的障碍.
主要方法:
- 在乌干达农村的12个卫生机构进行了一项研究.
- 在两周内,追踪了227名儿童的转诊完成状态.
- 收集了关于转介成本和未完成原因的数据.
主要成果:
- 只有28%的转诊儿童在两周内完成了住院转诊.
- 介绍成本的中位数为8.85美元,具有显著的变化.
- 主要障碍包括缺乏资金 (90%),交通问题 (26%),家庭责任 (17%) 等.
结论:
- 在乌干达农村地区,儿科转诊的高成本阻碍了其有效性.
- 降低转诊费用和完善IMCI标准对于现实的儿科护理是必要的.
- 建议赋予一级卫生工作者管理严重儿童疾病的权力.
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