估计获得手术护理的机会:巴基斯坦的一项以社区为中心的全国家庭调查
Muhammad Nabeel Ashraf1,2, Irum Fatima3, Ammar Ali Muhammad3
1Indus Hospital and Health Network, Karachi, Pakistan.
PLOS global public health
|November 15, 2023
概括
巴基斯坦的外科护理准入率估计为74.8%,远低于2030年的目标. 农村地区和特定省份的医疗接入率显著降低,突出了加强卫生系统的关键需求.
科学领域:
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
- 进行手术的机会.
背景情况:
- 巴基斯坦是一个中低收入国家,缺乏关于手术护理准入的数据.
- 到2030年,全球手术护理准入率的目标是80%.
研究的目的:
- 为了估计巴基斯坦各地的外科手术护理准入.
- 根据地理位置和省份来确定获取机会的差异.
- 为医疗服务提供医疗保健系统的加强提供信息.
主要方法:
- 在770个家庭中进行了一项随机分类,分层的两阶段集群家庭调查.
- 收集到医院进行剖腹产,腹腔切除术和开口骨折修复 (OFR) 的旅行时间的数据.
- 基于2017年人口普查框架的Stata 14使用分析.
主要成果:
- 基本手术 (剖腹产,腹腔切除,OFR) 的总体准入率为74.8%.
- 巴鲁吉斯坦,开伯尔巴赫图肯瓦 (KP) 和辛德的农村地区和省份的接入比城市地区和旁遮普/伊斯兰堡要低得多.
- 进入C-sections的机会比OFR,腹腔切除术和专门手术更高.
结论:
- 巴基斯坦的外科护理接入率低于2030年的目标.
- 需要有针对性的干预措施来改善服务不足的农村地区和特定省份的接入.
- 在中级医院中标准化手术服务至关重要.
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