巴基斯坦一级医院进行必要手术的障碍:一项混合方法研究
Amna Urooba1, Mashal Murad Shah1, Sameen Siddiqi2
1Centre of Global Surgical Care, Aga Khan University, Karachi, Sindh, Pakistan.
The Journal of surgical research
|November 30, 2024
概括
巴基斯坦手术护理的主要障碍.
科学领域:
- 公共卫生 公共卫生
- 手术护理 获得 手术护理 获取
- 卫生系统研究 卫生系统研究
背景情况:
- 巴基斯坦公共卫生部门对手术的利用不足导致患者转移.
- 转移到私人设施增加了患者的自付费用,并给城市中心带来了过度负担.
- 调查了巴基斯坦辛德省一级医院的手术护理障碍.
研究的目的:
- 确定巴基斯坦辛德省一级公立医院手术护理的障碍.
- 确定阻碍在初级保健水平上获得基本外科服务的因素.
主要方法:
- 一个并发的嵌套混合方法研究于2021年5月至6月进行.
- 在辛德省六个地区的15家一级公立医院进行了调查.
- 使用世卫组织调整的工具收集的定量数据;从工作人员采访中获得的定性数据.
主要成果:
- 缺乏训练有素的外科工作人员 (外科医生,麻醉科医生,产科医生/妇科医生) 是最重要的障碍.
- 基本设备的有限可用性,如功能性的X射线和超声波机器,以及一致的输血服务.
- 定性研究结果证实人力资源是提供外科手术护理的主要障碍.
结论:
- 外科手术的人力资源的严重短缺是一个巨大的挑战.
- 将任务转移给医务人员和执业麻醉师发生在没有正式监管或监督的情况下.
- 发展外科人员的能力对于提高外科护理质量至关重要.
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