定义医疗沙漠 - - 一项国际共识建设活动
Monica G Brînzac1,2,3, Ellen Kuhlmann4,5, Gilles Dussault6,7
1Department of Public Health, Faculty of Political, Administrative, and Communication Sciences, Babeș-Bolyai University, Cluj-Napoca, Romania.
European journal of public health
|July 8, 2023
概括
医疗沙漠由五个关键维度定义,包括卫生资源不足,长时间等待,高成本和社会文化障碍,影响全球医疗保健获取. 解决这些因素对于缓解这些服务不足的地区至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 医疗沙漠对公共卫生和卫生系统构成重大挑战.
- 随着COVID-19大流行,医疗保健获得的差异加剧了.
- 以前缺乏普遍接受的医疗沙漠定义.
研究的目的:
- 建立基于共识的医疗沙漠定义.
- 为了全面解释医疗沙漠的现象.
- 创建一个在全球范围内适用于各种健康系统的定义.
主要方法:
- 为了建立共识,采用了标准的Delphi练习.
- 第1阶段涉及与关键信息提供者的个人在线会议.
- 第二阶段包括两轮在线调查,随后通过电子邮件对外部利益相关者进行验证.
主要成果:
- 医学沙漠的共识定义于2023年1月达成.
- 该定义涵盖了影响医疗保健获取的五个主要方面.
- 这些方面包括卫生人力资源或设施不足,长时间等待,不成比例的成本和社会文化障碍.
结论:
- 必须解决五个已识别的维度,以减轻医疗沙漠.
- 干预的关键领域包括卫生工作人员和设施的可用性.
- 提高医疗保健负担能力,减少等待时间和克服社会文化障碍是必不可少的.
相关概念视频
Methods Of Healthcare Delivery System
3.3K
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...
3.3K
Primary Healthcare Services
1.4K
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...
1.4K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Specialized Care Centers and Settings-II
757
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...
757
Dimensions of Health and Illness
7.4K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.4K
Introduction To Health Care Delivery System
2.9K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.9K


