医生双重实践对儿科瘤外展计划的影响
Gilbert Olbara1, Krisna Handayani2, Iris Hoogland3
1Department of Child Health and Pediatrics, Moi Teaching and Referral Hospital, Moi University, Eldoret, Kenya.
Asian Pacific journal of cancer prevention : APJCP
|August 29, 2023
概括
医生双重实践 (PDP) 通过造成医生短缺和治疗延迟,对印度尼西亚和肯尼亚的儿科癌症治疗产生负面影响. 需要制定战略,以改善资源贫困环境中患有癌症的儿童的治疗结果.
科学领域:
- 全球健康 全球健康
- 儿科瘤学 儿科瘤学
- 医疗保健管理的管理
背景情况:
- 医生双重实践 (PDP) 涉及在公共和私营部门工作的医生.
- 了解PDP的影响对于国际卫生合作至关重要,特别是在儿科瘤学方面.
研究的目的:
- 探索医生双重实践 (PDP) 对儿科瘤外展计划的影响.
- 评估公共部门和私营部门的工作结合如何影响荷兰,印度尼西亚和肯尼亚的护理质量.
主要方法:
- 使用自主管理的半结构化调查进行的横截面描述性研究.
- 在2022年6月与合作医院的高级医生进行了采访.
- 调查包括70个封闭式和7个开放式问题,根据评级表进行评估.
主要成果:
- 在印度尼西亚和肯尼亚,60-80%的医生从事PDP,通常是为了补充政府的低薪水.
- 在荷兰,PDP的影响很小 (0-20%的医生),但在印度尼西亚和肯尼亚是有害的.
- 负面影响包括医生短缺,监督减少,诊断延迟和化疗管理延迟,恶化患者的结果.
结论:
- 医生双重实践对印尼和肯尼亚儿科瘤学计划的患者护理产生不利影响.
- 应对资源有限的环境中PDP的策略至关重要,以提高儿科癌症患者的治疗结果和生存率.
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