在尼泊尔加德满都山谷的初级,二级和三级医疗保健设施的分离过程:混合方法研究
Lava Shrestha1, Bipin Adhikari2,3, Manjita Bajracharya4
1Institute of Medicine, Kathmandu, Nepal.
BMC emergency medicine
|November 26, 2024
概括
在医疗保健中,有效的患者分组至关重要. 这项研究发现,在尼泊尔优化 triage 流程,一致的 triage 协议,更好的基础设施和对医疗保健工作者的培训是必不可少的.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 有效的患者分组对于优化医疗保健机构的护理至关重要.
- 这项研究调查了尼泊尔加德满都山谷不同级别医疗保健设施的分拣过程.
研究的目的:
- 探索和分析初级,二级和三级护理环境中的分拣实践.
- 确定患者分拣系统的挑战和改进领域.
主要方法:
- 一种混合方法的方法,结合了观察和半结构面试.
- 从2023年6月至11月的10个医疗保健机构 (6个PHC,3个SHC,1个三级医院) 收集的数据.
- 对144名医疗保健工作者进行了调查,对30名患者进行了采访;使用IPA分析了定性数据,使用利克特尺度分析了定量数据.
主要成果:
- 分离方案的可用性有很大差异,第三级医院 (56.3%) 的指导方针比SHC (28.1%) 和PHC (6.3%) 更多.
- 一致的分拣使用在第三级 (94%) 中最高,在SHC (66%) 和PHC (62%) 中较低.
- 医疗保健工作者指出,尽管认识到其好处,但需要更多的分拣培训和一致的实施.
结论:
- 优化分组需要一致的协议利用,改进的基础设施和适当的资源配置.
- 加强医疗保健工作人员的培训对于有效和一致的分拣实施至关重要.
- 解决这些因素对于改善尼泊尔通过优化选来改善患者护理至关重要.
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