低收入和中等收入国家的低价值外科手术程序:系统范围审查
Loai Albarqouni1, Eman Abukmail1, Majdeddin MohammedAli2
1Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia.
JAMA network open
|November 7, 2023
概括
在全球范围内,外科手术的过度使用正在增加,特别是在低收入和中等收入国家 (LMICs). 不必要的剖腹产是一个主要问题,导致伤害和重大成本.
科学领域:
- 全球健康 全球健康
- 外科手术的结果
- 卫生经济学 卫生经济学
背景情况:
- 全球愈来愈多的手术手术率对个人和医疗保健系统构成风险.
- 低收入和中等收入国家 (LMICs) 显示出越来越多的过度使用特定程序的证据.
研究的目的:
- 评估LMIC中低价值外科手术的程度,因素,后果和解决方案.
- 综合现有的关于在资源有限的环境中外科过度使用的证据.
主要方法:
- 对4个电子数据库 (PubMed,Embase,PsycINFO,全球指数Medicus) 的系统审查.
- 包括从数据库开始到2022年4月27日的研究,没有日期或语言限制.
- 133项包括研究的分类 (来自63个国家) 根据重点:范围,因素,后果和解决方案.
主要成果:
- 分析了133项研究中的910多万次手术手术.
- 不必要的剖腹产是最常见的过度使用 (12-81%的LMICs比率),每年估计中国成本为32.9亿美元.
- 其他证据有限的手术包括腹部和心血管手术;私人融资是相关因素.
结论:
- 越来越多的证据证实,在LMICs中,外科手术过度使用,造成伤害和浪费资源.
- 不必要的剖腹产是这种过度使用的主要驱动因素.
- 需要对其他手术程序进行进一步的研究,并对干预措施进行强有力的评估.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
95
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
95
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