在菲律宾,为2小时提供及时的必要手术的地理空间映射
Xuxin Lim1,2, Madhumitha Ayyappan3, Ma Wai Wai Zaw4
1Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore lim.xuxin@gmail.com.
BMJ open
|December 15, 2023
概括
85.1%的菲律宾人可以在2小时内获得必要的外科护理. 然而,存在显著的区域差异,突出地区需要改善对贝尔威瑟程序的访问,以实现全民健康覆盖.
科学领域:
- 全球健康 全球健康
- 进行手术的机会.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 及时获得安全和负担得起的手术对实现全民健康覆盖至关重要.
- 菲律宾对获得必要的外科手术程序的数据有限.
研究的目的:
- 为了测量菲律宾人口的比例在2小时的行程时间内到贝尔韦瑟手术设施.
- 为了确定菲律宾手术服务不足的地区.
主要方法:
- 确定了428家具有贝尔威瑟能力的公共医院.
- 利用ArcGIS Pro的服务区域工具绘制2小时车程内的人口.
- 进行了适合性建模,以确定新手术设施的最佳位置.
主要成果:
- 85.1%的人口可以在2小时内到达贝尔韦瑟医院.
- 六个地区 (比科尔,东维萨亚斯,赞博安加,BARMM,卡拉加,米马罗帕) 的人口覆盖率不到80%.
- 卡拉加,米马罗帕,卡拉巴松和赞博安加被认为是新手术设施的理想选择.
结论:
- 虽然菲律宾的全国医疗准入率很高,但在手术护理准入方面仍然存在显著的区域差异.
- 除了旅行时间之外的因素,包括天气,交通和财务机会,会影响实际的外科手术护理可获得性.
- 在服务不足的地区,有针对性的基础设施建设是必要的,以改善外科手术的准入和公平.
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