在肯尼亚,在首次转诊级别提供儿科护理
Mike English1, Fabian Esamai, Aggrey Wasunna
1KEMRI Centre for Geographic Medicine Research-Coast, PO Box 230, Kilifi, Kenya. menglish@wtnairobi.mimcom.net
Lancet (London, England)
|November 3, 2004
概括
肯尼亚的政府地区医院在提供儿科护理方面面临资源挑战,影响儿童的生存率. 通过有针对性的政策加强医院能力对于改善儿科服务和结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肯尼亚政府地区医院的儿科护理对于儿童的生存至关重要.
- 了解儿科服务的现状对于有针对性的改进至关重要.
研究的目的:
- 调查肯尼亚政府地区医院提供儿科护理的情况.
- 评估工作量,入学结果,基础设施,资源和利益相关者的观点.
主要方法:
- 调查了肯尼亚七个省份的14家政府地区医院的初级推水平.
- 从工作人员和护理人员那里收集有关医院运营,资源和定性见解的数据.
主要成果:
- 观察到儿科住院率的显著变化.
- 基本供应的可用性通常是充足的,但基本的治疗 (例如,抗菌菌药物,营养不良治疗) 往往缺乏.
- 工作人员认为基础设施和资源限制是关键的挑战.
- 护理人员报告说,他们的经历总体上是积极的,但他们对物理环境不满.
结论:
- 肯尼亚的地区医院需要提高能力,以有效地提供儿科护理.
- 为改善儿童存活率,需要针对已确定的需求制定全面的政策.
- 干预措施必须侧重于加强地区医院一级的资源,基础设施和服务提供.
相关概念视频
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Primary Healthcare Services
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Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
Specialized Care Centers and Settings-II
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Hospitals-II
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Nurses that work in hospitals have...


