进入心脏手术的障碍:加拿大情况与全球背景
Dominique Vervoort1, Abdul Muqtader Afzal2, Gabriela Zamunaro Lopes Ruiz3
1Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada; Division of Cardiac Surgery, University of Toronto, Toronto, Ontario, Canada.
尽管加拿大的心脏手术覆盖率普遍,但在加拿大获得心脏手术仍面临挑战,包括劳动力短缺和地理障碍. 需要改进,以解决全球和高收入国家内的三级心血管保健方面的差异.
科学领域:
- 心血管外科心血管外科
- 医疗保健服务研究 医疗服务研究
- 全球卫生平等全球卫生平等
背景情况:
- 心血管疾病是全球主要的死亡原因,而第三级护理的获得特别容易受到差异的影响.
- 心血管保健的障碍不成比例地影响低收入和中等收入国家 (LMICs),但在高收入国家也存在.
- 加拿大的全民医疗覆盖面临诸多挑战,包括地理障碍和影响心脏手术准入的系统低效.
研究的目的:
- 审查在加拿大和全球范围内获得心脏外科手术的成功和挑战.
- 确定影响三级心血管保健提供和公平性的关键障碍.
- 为改善全球心脏外科手术准入提供见解.
主要方法:
- 这篇叙事综述综合了有关心脏手术准入的现有文献.
- 它检查了劳动力数据,中心分布和报告的护理障碍.
- 对比分析包括加拿大与全球和高收入国家平均水平的比较.
主要成果:
- 加拿大每百万人口中有5.02名心脏外科医生,低于高收入国家平均水平,但高于全球和LMIC平均水平.
- 在加拿大各省的外科医生和中心分布中存在显著差异.
- 障碍包括长时间等待,社会人口统计因素,虚拟护理不足和分散的治理.
结论:
- 尽管面临诸如劳动力分配和进入障碍等挑战,但加拿大表现出良好的外科手术结果和强大的急症后护理基础设施.
- 解决系统低效率和治理分散是改善心脏手术准入的关键.
- 需要继续努力,以确保在全球范围内提供公平的三级心血管保健.
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