基于产前护理提供者,位置和财富指数的剖腹产患病率:秘鲁医疗保健系统的比较分析
Victor Hugo Moquillaza-Alcantara1, Diana Pamela Palacios-Vivanco2
1Universidad Privada Norbert Wiener, Escuela de Posgrado, Lima, Peru.
概括
秘鲁的剖腹产率在2021年达到33.75%,在私人设施和更富裕的城市人口中患病率更高. 需要制定战略来规范所有医疗保健系统的过度使用.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球剖腹产率正在上升,超过了世界卫生组织的建议.
- 过度剖腹产会给母亲和医疗保健系统带来风险和增加成本.
研究的目的:
- 评估秘鲁医疗保健系统的剖腹产患病率.
- 根据设施类型,位置和母亲的社会经济地位分析剖腹产率.
主要方法:
- 采用人口和家庭健康调查 (ENDES) 的20870条记录进行的横截面研究.
- 分析包括来自卫生部,社会健康保险,武装部队和国家警察以及私人医疗机构的数据.
主要成果:
- 剖腹产的患病率在私人 (69.13%) 和社会医疗保险 (51.54%) 设施中最高.
- 城市环境,更高的财富指数和医生参与与剖腹产概率的增加有关.
- 较低的剖腹产概率观察到在卫生部为较低社会经济群体的设施中,以及当助产士在私人机构提供护理时.
结论:
- 秘鲁的整体剖腹产率在2021年为33.75% .
- 不分青红白的剖腹产使用需要在每个医疗保健系统内评估和监管策略.
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