埃塞俄比亚心脏外科手术的现状
Salem Argaw1, Abraham Genetu2, Dominique Vervoort3,4
1Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill.
JTCVS open
|July 10, 2023
概括
埃塞俄比亚的心脏手术接入正在转移到当地中心,但严重的劳动力短缺和有限的资源造成了长时间的等待列表. 提高培训和资源对于扩展护理至关重要.
科学领域:
- 心血管外科心血管外科
- 全球卫生平等全球卫生平等
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 全球有60亿人无法获得必要的心脏手术护理.
- 埃塞俄比亚在为其1.2亿人口提供心脏手术方面面临重大挑战.
- 心脏外科医生和资源的严重短缺阻碍了及时治疗的机会.
研究的目的:
- 描述埃塞俄比亚心脏手术服务的现状.
- 确定患者获得心脏手术护理的主要途径.
- 评估新兴地方能力对患者获取的影响.
主要方法:
- 数据收集包括采访心脏外科医生,中心代表和医疗旅行代理.
- 来自非政府组织的历史数据和患者治疗数量的分析.
- 评估患者通过基于任务的护理,国际转诊和当地中心获得的医疗服务.
主要成果:
- 通过基于使命的服务,国际转诊和四个当地中心 (慈善机构,公共机构,两家营利性机构) 获得心脏护理.
- 自2017年以来,当地一支外科团队一直在进行心脏手术,标志着向家庭护理的转变.
- 埃塞俄比亚只有5名心脏外科医生为1亿2000万人口提供服务,由于资源和劳动力有限,超过15,000名患者在等待名单上.
结论:
- 埃塞俄比亚正在从非政府心脏护理转向当地心脏护理.
- 虽然当地的心脏手术工作人员人数正在扩大,但仍然严重不足.
- 劳动力,基础设施和资源有限,导致程序数量有限,等待时间长,需要利益相关方合作,以培训劳动力,提供资源和可持续融资.
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