一项横截面研究,评估干预放射学服务在澳大利亚地区和偏远地区的作用
Warren Clements1,2,3, Adil Zia1, Kelvin Chang1
1Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia.
许多先进的干预放射学 (IR) 治疗是在被转移到大都市医院的区域患者身上进行的. 这凸显了澳大利亚农村地区对IR服务的未满足需求,影响了未来的医疗保健规划.
科学领域:
- 医学成像和干预手术程序
- 医疗保健服务研究 医疗服务研究
- 农村卫生公平 农村卫生公平
背景情况:
- 干预放射学 (IR) 对8%的住院患者至关重要.
- 对于包括土著人口在内的区域/偏远澳大利亚人的IR访问,人们的理解有限.
- 这项研究解决了评估非大都会患者的IR治疗模式的需要.
研究的目的:
- 评估向来自区域和偏远地区的患者提供先进的干预放射治疗的数量和类型.
- 为未来的干预放射学工作人员提供信息,并为服务不足的地区规划治理.
- 确定将IR服务分散到区域枢纽的潜力.
主要方法:
- 一个单一的中心,横截面研究在维多利亚州的一家三级医院进行.
- 分析了2022年至2024年1月期间进行的高级IR治疗 (不包括活检等基本手术).
- 患者数据集中在从区域或偏远地区转移到治疗的患者上.
主要成果:
- 在3485项先进的IR干预中,908例 (26.0%) 涉及来自区域/偏远地区的患者.
- 大约38.5%的这些手术有可能在区域中心进行.
- 本土患者占区域/偏远队列的1.4%,与维多利亚州的人口发病率保持一致.
结论:
- 显而易见的是,澳大利亚地区和偏远地区对干预放射学服务的巨大需求尚未得到满足.
- 许多患者进行区域间转移,以获得在当地环境中可行的治疗.
- 这些发现对于政府和医院的战略规划至关重要,包括IR的基础设施和劳动力发展.
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