比较墨西哥儿科息治疗的需求和发展:地理分析
Jorge Alberto Ramos-Guerrero1, Juan Esteban Correa-Morales2, Miguel Antonio Sánchez-Cárdenas3
1Department of Palliative and Pain Medicine, Hospital General de Occidente, Secretaría de Salud, Jalisco, Mexico.
墨西哥的儿科息治疗 (PPC) 尚不发达,地区差异很大. 大多数州都处于早期发展阶段,未能满足患有严重健康相关痛苦的儿童的需求.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 抚慰性护理是一种缓解性护理.
背景情况:
- 全球息护理地图 (GAPC) 显示了墨西哥成人息护理的初步整合.
- 现有的数据不准确地反映了儿科息护理 (PPC) 的发展状况.
研究的目的:
- 评估墨西哥目前对PPC的需求.
- 评估墨西哥各州的PPC服务的发展水平.
主要方法:
- 估计PPC需要使用国家死亡率数据来计算导致严重健康相关痛苦的疾病.
- 使用服务获取和阿片类药物可用性指标评估PPC发展.
- 使用适应的GAPC类别进行分类的州级PPC开发.
主要成果:
- 在2021年,有10,677名儿童死于需要PPC的疾病,这表明需要25/100,000名儿童.
- 墨西哥没有一个州实现了PPC的高级整合 (类别4a/4b).
- 大多数州 (62.6%) 处于能力建设阶段 (第二类),服务分布不均.
结论:
- 墨西哥的PPC服务分布不公平,阻碍了儿童和家庭获得照顾的机会.
- 成人息护理发展与墨西哥PPC发展不足之间存在很大的差距.
- 调查结果强调,迫切需要有针对性的干预措施,以推进全国范围内的PPC服务.
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