在坦桑尼亚服务不足的农村地区扩大麻醉服务
E Kweyamba1,2, A S Nyamtema3,4, J C LeBlanc5
1Tanzanian Training Centre for International Health, Ifakara, Tanzania.
BMC health services research
|September 18, 2023
概括
一项任务转移策略培训了临床助理临床医生麻醉,显著增加了剖腹产率和坦桑尼亚农村脊柱麻醉的使用. 该计划解决了严重的短缺问题,并减少了服务不足地区的孕产妇死亡率.
科学领域:
- 全球健康 全球健康
- 医学教育 医学教育
- 麻醉学 麻醉学
背景情况:
- 坦桑尼亚面临着医生麻醉师的严重短缺,需要为麻醉服务提供创新解决方案.
- 正在实施任务转移策略,以解决服务不足地区医疗保健提供者的短缺问题.
- 减少孕产妇和产前死亡率是坦桑尼亚农村地区的主要公共卫生重点.
研究的目的:
- 评估一项旨在增加紧急产科手术麻醉提供者的操作研究.
- 评估培训计划对坦桑尼亚农村麻醉质量和安全的影响.
- 通过增强麻醉服务来降低孕产妇和产周死亡率.
主要方法:
- 在坦桑尼亚七个卫生中心 (五个干预,两个控制) 进行了一项前后队列研究.
- 十名临床助理医生接受了为期三个月的麻醉技能培训,用于紧急产科手术.
- 干预包括支持性监督,指导和电话咨询;测量结果是剖腹产 (CD) 率和麻醉安全性.
主要成果:
- 在干预设施中,在脊柱麻醉下进行的CDS的比例在三年内从28%翻了一番,达到57%.
- 在干预设施中的2,179名CD中,只有两起与麻醉相关的死亡事件发生 (每1000个CD中只有0.9).
- 该培训计划被政府采用了一些修改,突出了其有效性和可扩展性.
结论:
- 一个为期三个月的麻醉培训计划为临床助理医生,随着持续的支持,有效地增加了剖腹产分娩率.
- 该计划显著提高了脊髓麻醉的吸收率,这是剖腹产的黄金标准.
- 这种教育模式可以满足非洲其他服务不足地区对麻醉服务的需求.
更多相关视频
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
19.7K
23:56Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
16.8K
相关概念视频
01:30Primary 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
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
01:26Methods 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
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:22Stages of General Anesthesia
495
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
495