墨西哥格雷罗州地震应急规划手术系统的地理空间绘制:一项生态研究
Letícia Nunes Campos1,2, Mayte Bryce-Alberti1,3, Sarah K Hill1
1Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Lancet regional health. Americas
|September 13, 2023
概括
在墨西哥地震易发的格雷罗,手术护理的准入不均. 提高市政恢复力是改善灾难准备能力的关键.
科学领域:
- 灾难医疗 医疗 医疗 医疗
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
背景情况:
- 及时获得手术服务对于有效的地震准备和应对至关重要.
- 墨西哥格雷罗面临着巨大的构造活动,需要评估手术护理的可获得性.
研究的目的:
- 估计在格雷罗州及时获得手术护理的人口数量.
- 为了确定地震发生时面临风险的人口.
主要方法:
- 使用有关地震风险,社会脆弱性,不平等,边缘化和抵御能力的公开政府数据的生态研究.
- 对手术设施位置和道路网络的空间分析,以确定30分钟和1小时的驾驶时间内的人口覆盖率.
- 订购β回归建模来分析影响外科手术护理准入的因素.
主要成果:
- 在格雷罗州确定了41个公共和私人手术设施.
- 48.4%的人口可以在30分钟内获得手术护理,69.1%的人在1小时内获得手术护理.
- 具有高地震风险,社会脆弱性和低抗震能力的市政当局显示,手术护理覆盖率下降.
结论:
- 在高风险的格雷罗市镇中,手术护理的准入分配不公平.
- 市政的弹性是30分钟内改善外科护理覆盖率的重要预测因素.
- 加强手术系统对于地震应急灾难规划至关重要.
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