一项定性研究探讨了21个中低收入国家提供外科护理的背景挑战
Nakul P Raykar1, Rachel R Yorlets2, Charles Liu3
1Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
全球手术在低收入国家面临重大障碍,包括地理,财务和劳动力方面的挑战. 尽管资源有限,但这些地区的医疗服务提供者正在实施创新解决方案,以改善外科护理的获取和提供.
科学领域:
- 全球健康
- 手术护理
- 卫生系统研究
背景情况:
- 全球数十亿人无法获得安全,负担得起和及时的手术治疗.
- 兰塞特全球外科委员会 (LCoGS) 调查了低收入和中等收入国家 (LMIC) 的挑战.
研究的目的:
- 了解在LMICs提供外科护理的背景挑战.
- 确定医疗保健提供者如何克服这些障碍.
主要方法:
- 这项定性研究涉及21个低收入国家和地区的143名护理人员进行半结构面试.
- 包括城市和农村环境的分层有目的抽样.
- 采访涉及接入,住院护理和卫生政策障碍;数据被编码和分析.
主要成果:
- 鉴定出严重的地理,财务和教育障碍.
- 农村地区面临劳动力短缺和基础设施短缺; 城市地区面临高患者数量和协调问题.
- 创新的解决方案包括独特的融资,患者住宿,供应再利用和本地采购.
结论:
- 在全球范围内,外科护理的挑战与资源的可用性有关,特别是在农村医院.
- 全球努力应投资于基础设施和劳动力,而地方政府则为特定环境量身定制解决方案.
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