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塞拉利昂紧急护理能力:一个多中心分析
Zosia Bredow1, Zoe Corbett1, Moses Mohamed Tarawally1,2
1King's Global Health Partnerships, School of Life Course and Population Sciences, King's College London, London, UK.
概括
在塞拉利昂,改善紧急护理至关重要,因为诊断,基础设施和临床服务存在关键差距. 这项研究对14家医院进行了评估,显示平均紧急护理能力得分为40%.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 紧急医疗 紧急医疗
背景情况:
- 在低收入和中等收入国家,每年超过50%的死亡率是由于可以通过改善紧急护理来治疗的疾病造成的.
- 塞拉利昂卫生和环境卫生部已将紧急护理确定为国家优先事项.
- 本研究提出了塞拉利昂紧急护理能力的第一个多中心分析.
研究的目的:
- 评估塞拉利昂14家政府医院当前的紧急护理能力.
- 确定国家紧急护理系统中强项和弱项的具体领域.
- 提供数据,为加强紧急护理的国家战略提供信息.
主要方法:
- 使用了医院紧急病房评估工具 (HEAT),这是世界卫生组织推的标准化评估.
- 采用有目的的抽样来选择全国14个政府设施.
- 在每个设施与多学科团队进行了为期两天的面对面访问,创建了HEAT调整的紧急护理能力得分.
主要成果:
- 人力资源是最强的参数 (49%),所有医院都提供24 / 7紧急覆盖.
- 紧急诊断服务是最有限的 (29%),有3家医院缺乏基本的X光学.
- 基础设施得分为47%,在电力 (2/14充足),水 (5/14充足) 和氧气供应 (没有充足) 方面存在重大赤字.
- 临床服务 (39%) 和信号功能 (38%) 也很弱,分拣有限,大多数医院没有指定的急救部门,无法获得必需的急救药物.
结论:
- 评估医院的整体HEAT调整的紧急护理能力得分为40%.
- 鉴定到的差距已经促使地方干预,例如将资源集中在复苏区,并加强团队培训.
- 设施级数据可以为更广泛的评估和战略优先级制定提供信息,以可持续地加强塞拉利昂国家紧急护理系统.
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