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加勒比神经外科工作人员的分析:实践范围,挑战和前进的途径
Myron L Rolle1, Ashley Williams2, Annegien Boeykens3
1Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
World neurosurgery
|August 19, 2023
概括
加勒比神经外科工作人员显著欠发达,大多数国家缺乏足够的神经外科医生和设施. 关键的挑战包括技术,培训和基础设施,阻碍了获得神经外科护理的机会.
科学领域:
- 神经外科 神经外科
- 全球健康 全球健康
- 医疗保健工作人员分析
背景情况:
- 由于区域差异很大,加勒比地区的神经外科工作人员的了解很少.
- 目前大约有45名神经外科医生为加勒比共同体和共同市场国家的1600万人口提供服务.
- 现有的差异包括文化,语言,政治,金融和历史因素.
研究的目的:
- 评估加勒比和周边地区目前的神经外科工作人员的情况.
- 确定影响神经外科护理的系统性挑战.
- 探索增强区域神经外科工作人员的潜在解决方案.
主要方法:
- 在加勒比和周边国家的神经外科医生进行了一项混合方法的在线调查.
- 使用Qualtrics平台收集了定性和定量数据.
- 这项研究针对38个国家的神经外科医生,其中26位参与调查.
主要成果:
- 在26个被调查的国家中,只有18个国家做出了回应,在172个认定的神经外科医生中,只有61个回应.
- 大多数国家都低于神经外科医生和专门中心推的劳动力密度值.
- 推时间通常超过8小时,主要挑战包括技术/设备 (40%),培训 (44%) 和人员 (31%).
结论:
- 这项研究提供了加勒比神经外科工作人员的首个全面概述.
- 在资源和基础设施方面发现的挑战对于改善区域神经外科护理至关重要.
- 解决这些差距对于开发更容易获得和更有效的神经外科服务至关重要.
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