人口老龄化中的手术需求:尼泊尔的一项基于集群的家庭调查
Barclay T Stewart1, Even Wong2, Shailvi Gupta3
1Department of Surgery, University of Washington, Seattle, Washington DC, USA.
Lancet (London, England)
|August 28, 2015
概括
尼泊尔的手术需求尚未得到满足
科学领域:
- 全球健康
- 手术流行病学
- 老年医学
背景情况:
- 全球人口老龄化增加了非传染性疾病的负担,特别是在低收入和中等收入国家.
- 这种负担的很大一部分可以通过手术治疗或缓解.
- 在尼泊尔的老年人中, 手术需要的程度仍然很大程度上未得到量化.
研究的目的:
- 估计尼泊尔50岁及以上人群中可以通过手术治疗的疾病的患病率.
- 在这个人口群体中发现手术护理的障碍.
- 为改善老年人接受手术的公共卫生战略提供信息.
主要方法:
- 通过使用经过验证的外科医生海外手术需求评估 (SOSAS) 工具进行了社区调查.
- 这项研究采用了30个家庭采样策略的两阶段30个随机集群.
- 获得了口头知情同意,随后收集了家庭人口统计数据,口头解剖,并对手术条件进行了全身检查.
主要成果:
- 尼泊尔大约有125万老年人患有可以通过手术治疗的疾病.
- 最常见的疾病包括瘤/质块 (25%),受伤/骨折,获得的形 (13%) 和失禁 (11%).
- 识字和医疗机构的距离是医疗保健的重要障碍,19%的死亡可能通过手术预防.
结论:
- 在尼泊尔的老年人中存在大量未满足的外科手术需求.
- 改善手术服务需要解决识字和地理距离等障碍.
- 加强卫生系统对于满足全球老龄化人口日益增长的外科需求至关重要.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.7K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.7K
Methods Of Healthcare Delivery System
4.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.3K
Secondary Healthcare System
2.2K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.2K
Specialized Care Centers and Settings-II
1.3K
Rural Health Centers
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...
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...
1.3K
Primary Healthcare Services
2.7K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.7K
Current Trends in Nursing I
5.7K
Current trends in nursing include:
5.7K
