卢旺达平等获得优质创伤护理的障碍:一项定性研究
Pascal Nzasabimana1, Agnieszka Ignatowicz2, Barnabas Tobi Alayande3,4
1Single Project Implementation Unit, University of Rwanda, Kigali, Rwanda.
BMJ open
|September 28, 2023
概括
卢旺达获得高质量的伤害护理障碍包括缺乏保险,救护车有限,以及创伤专家很少. 在整个护理领域解决这些问题对于未来的干预措施来改善患者的治疗结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 创伤护理研究 创伤护理研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 获得高质量的伤害护理是全球卫生挑战.
- "四个延迟"框架为分析医疗保健准入障碍提供了一个结构.
研究的目的:
- 确定和探索进入卢旺达优质伤害护理的障碍.
- 从受伤患者,护理人员和社区领导人的角度了解这些障碍.
主要方法:
- 在卢旺达农村的布雷拉区和基加利市进行了一项定性研究.
- 数据是通过20个深入的半结构面试和4个重点小组讨论与51名参与者收集的.
- 用专题分析来分析收集的数据.
主要成果:
- 在"四个延迟"框架 (寻找,到达,接收,留在护理) 中发现了多个障碍.
- 关键的障碍包括缺乏社区医疗保险,有限的救护车接入,不足的创伤专家和高患者数量.
- 严格的转诊流程和缺乏分散的康复服务也阻碍了获得优质护理的机会.
结论:
- 鉴定到的障碍涵盖了伤害护理的整个范围,从最初的伤害到康复.
- 未来卢旺达的干预措施必须解决这些具体障碍,以改善受伤护理的准入和质量.
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