地图化息护理的可用性和可访问性:在低收入和中等收入环境中消除进入荒漠的第一步
Malar Velli Segarmurthy1,2, Richard Boon-Leong Lim3, Choi Ling Yeat4
1Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Journal of palliative care
|November 20, 2023
概括
在马来西亚,缓和护理的可用性差异很大,在可用性和旅行距离方面,城市和农村存在很大的差异. 去中心化医疗保健对于改善低收入和中等收入国家获得医疗服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
- 健康 公平 卫生 公平
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,息护理在很大程度上仍然不可用.
- 马来西亚是一个中等收入国家,已经推进了全民健康覆盖 (UHC),为缓和护理的可访问性提供了一个独特的案例.
- 了解息护理服务的可用性和可访问性对于卫生系统规划至关重要.
研究的目的:
- 评估马来西亚的息护理服务的可用性和可访问性.
- 确定马来西亚在获得息治疗的地理差异.
- 为改善在LMICs中的息护理提供策略提供信息.
主要方法:
- 利用公开可用的数据和注册息护理服务的数据库.
- 使用谷歌地图和Rome2Rio来估计从地区到服务的旅行距离,时间和成本.
- 评估了马来西亚各地缓和护理获取的地理差异.
主要成果:
- 在息护理服务的可用性,组件和可访问性方面发现了显著的差异.
- 较不发达地区的患者面临更长的旅行距离 (高达82公里) 和时间 (乘船2.5小时).
- 旅行成本的中位数从半岛马来西亚的2美元到东马来西亚的23美元,突出显示了经济障碍.
结论:
- 在获得息护理方面存在明显的城乡差距,即使在UHC进展的国家.
- 在LMICs,急需分散息护理服务.
- 能力建设和将任务转移到初级和社区护理机构是推的战略.
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