一个世界手术:在洪都拉斯本地经营的手术任务的演变
Kelsey Overman1, Peter Nicholson2, Carl Nunziato3
1Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.
The Journal of bone and joint surgery. American volume
|September 21, 2023
概括
一个世界外科提供高质量的骨科护理在低资源的设置通过其门诊外科中心 (ASC) 模式. 这种可持续的方法赋予了当地医务人员权力,并解决了全球的外科手术差异.
科学领域:
- 全球健康 全球健康
- 手术任务 手术任务
- 加强卫生系统 加强卫生系统
背景情况:
- 医疗使命组织在解决医疗保健差异方面发挥着至关重要的作用.
- 需要可持续的模型,在低收入和中等收入国家 (LMICs) 提供一致的外科护理.
- 一个世界手术 (OWS) 组织在洪都拉斯经营着一个门诊手术中心 (ASC).
研究的目的:
- 评估OWS ASC模型的影响和可持续性.
- 突出该模型在解决全球外科手术差异方面的贡献.
- 将OWS ASC作为其他医疗任务的潜在蓝图.
主要方法:
- 从2009-2021年对OWS操作数据进行纵向分析.
- 评估外科手术程序,患者咨询和财务捐款.
- 评估当地员工能力建设和增加自主权.
主要成果:
- 在12年的时间里,OWS进行了8703次手术和54940次咨询.
- 从2009年到2021年,ASC提供了7400万美元的患者护理.
- 观察到当地医务人员的自主权显著增加.
结论:
- OWS ASC模型证明了在LMICs提供高质量的外科护理的成功方法.
- 该模型的重点是当地伙伴关系和能力建设,促进可持续性.
- 该模型为其他旨在减少全球外科手术差异的医疗任务提供了可复制的蓝图.
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