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全球手术监测的标准化指标
Thomas G Weiser1, Martin A Makary, Alex B Haynes
1Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA.
Lancet (London, England)
|September 29, 2009
概括
为评估全球的外科手术服务,开发了用于外科手术的标准公共卫生指标. 这些指标可以更好地评估全球的外科手术负担和卫生系统绩效.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 全球手术全球手术
背景情况:
- 标准化指标对于评估疾病负担和卫生系统绩效至关重要.
- 外科服务缺乏确立的公共卫生指标,尽管存在巨大的成本和不利结果.
- 世界卫生组织的安全手术拯救生命倡议解决了这一差距.
研究的目的:
- 开发和定义用于手术护理的标准化公共卫生指标.
- 创建可行和实际的措施,以评估在人口层面的外科服务.
- 将这些指标整合到全球安全手术指南中.
主要方法:
- 召集了一个国际专家小组来定义指标.
- 确定了国家外科服务评估的六个关键措施.
- 评估了八个国家的八个不同医院的数据收集可行性.
主要成果:
- 推六个国家一级的指标:手术室,手术,认可的外科医生,认可的麻醉专业人员,手术当天死亡率和术后住院死亡率.
- 在各种国际环境中收集这些统计数据的可行性.
- 将指标和数据收集方法纳入世卫组织安全外科手术指南.
结论:
- 现在可以获得用于手术护理的标准化公共卫生指标.
- 这些指标为全球评估外科手术服务提供了一个框架.
- 这些指标的实施可以改善全球外科护理的理解和性能.
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